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

Q: 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.

Q: What is Sofia Poonawala-manjee's specialty?

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

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: August 16, 2026.

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

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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

Phone(817) 571-6644

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

JAMES C WHEELER MD

Pediatrics