SOFIA POONAWALA-MANJEE FNP
NPI 1710349451
Nurse Practitioner - Family in Bedford, TX

Active since March 22, 2016PECOS Enrolled
2716 TIBBETS DR, BEDFORD, TX 76022(817) 571-6644(817) 685-7951 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2021, Apr 6, 2021, Mar 22, 2016 (3 updates tracked since 2016).

About Sofia Poonawala-manjee Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOFIA POONAWALA-MANJEE FNP (NPI 1710349451) is an individual family provider in Bedford, Texas, licensed in Texas (752444) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710349451
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOFIA POONAWALA-MANJEECredential: FNP
Location Address2716 TIBBETS DRBedford, TX 76022-6915
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Fax(817) 685-7951
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateMay 10, 20213 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1710349451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 752444
2716 TIBBETS DR, Bedford, TX 76022

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sofia Poonawala-manjee Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sofia Poonawala-manjee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
2716 TIBBETS DR
BEDFORD, TX 76022
Nurse Practitioner (Pediatrics)
2716 TIBBETS DR
BEDFORD, TX 76022
Pediatrics
2716 TIBBETS DR
BEDFORD, TX 76022
Pediatrics
2716 TIBBETS DR
BEDFORD, TX 76022
Nurse Practitioner (Pediatrics)
2716 TIBBETS DR
BEDFORD, TX 76022
Pediatrics
2716 TIBBETS DR
BEDFORD, TX 76022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sofia Poonawala-manjee's NPI number?

The NPI number for Sofia Poonawala-manjee is 1710349451. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Sofia Poonawala-manjee located?

Sofia Poonawala-manjee practices at 2716 Tibbets Dr, Bedford, TX 76022. The listed phone number is (817) 571-6644.

What is Sofia Poonawala-manjee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sofia Poonawala-manjee enrolled in Medicare?

Yes. Sofia Poonawala-manjee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sofia Poonawala-manjee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Poonawala-manjee reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sofia Poonawala-manjee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sofia Poonawala-manjee accept?

Health plans from Imperial Insurance Companies, Inc. list Sofia Poonawala-manjee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sofia Poonawala-manjee was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.