Active NPI
Michael Maniaci, MD
- Hospitalist Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2025-04230
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 355-2000
- NPI assigned
- Nov 21, 2005
- Last updated
- Jun 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME90754 | FL | |
| Hospitalist Physician | 208M00000X | 73189 | WI | |
| Hospitalist Physician | 208M00000X | 52915 | AL | |
| Hospitalist Physician | 208M00000X | 036-170851 | IL | |
| Hospitalist Physician | 208M00000X | 70186 | GA | |
| Hospitalist Physician | 208M00000X | 68031 | MN | |
| Hospitalist Physician | 208M00000X | 2025-04230 | NC | Primary |
| Hospitalist Physician | 208M00000X | 62509 | AZ | |
| Hospitalist Physician | 208M00000X | 96122 | SC |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
1000 Blythe Blvd
Charlotte, NC 28203-5812
Other practice location 1
1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624
Phone (708) 684-4816
Other practice location 2
975 Port Washington Rd
Grafton, WI 53024-9201
Phone (262) 329-1000
Other practice location 3
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000
Other practice location 4
400 Northwood Dr
Centre, AL 35960-1023
Phone (256) 927-5531
Other practice location 5
704 Gold Hill Rd
Fort Mill, SC 29715-8906
Phone (803) 835-0430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100103305 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI, MN, AZ, IL, NC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Saint Louis University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mayo Clinic Jacksonville
Practice addresses (Care Compare)
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3311
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (480) 342-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-170851 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Mayo Clinic Jacksonville | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic Jacksonville | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Mayo Clinic Jacksonville | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients |
Locations
5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800
13400 E Shea Blvd
Scottsdale, AZ 85259
4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
14555 W National Ave
Ste 140
New Berlin, WI 53151
Phone (262) 827-0480
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
dba Mayo Clinic Scottsdale
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
dba Mayo Clinic Jacksonville advanced care at home
- Health Service Clinic/Center
- Jacksonville, FL
- NPI 1174143986
WI
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba Atrium Health Navicent Medical Group
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
dba Advocate Christ Medical Group
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1891782470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1215910500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-355-2000"
}
],
"practiceLocations": [
{
"address_1": "1441 Branding Ave Ste 310",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "605155624",
"country_code": "US",
"telephone_number": "708-684-4816",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "975 Port Washington Rd",
"address_purpose": "LOCATION",
"city": "Grafton",
"state": "WI",
"postal_code": "530249201",
"country_code": "US",
"telephone_number": "262-329-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "777 Hemlock St",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312012102",
"country_code": "US",
"telephone_number": "478-633-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Northwood Dr",
"address_purpose": "LOCATION",
"city": "Centre",
"state": "AL",
"postal_code": "359601023",
"country_code": "US",
"telephone_number": "256-927-5531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "704 Gold Hill Rd",
"address_purpose": "LOCATION",
"city": "Fort Mill",
"state": "SC",
"postal_code": "297158906",
"country_code": "US",
"telephone_number": "803-835-0430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANIACI",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME90754",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "73189",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AL",
"license": "52915",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036-170851",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "70186",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MN",
"license": "68031",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2025-04230",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "62509",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "96122",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100103305",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1441 Branding Ave Ste 310",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605155624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.