NPIMap

Individual provider Active NPI

Steven P Manuli, MD

  • Internal Medicine Physician
  • Elizabeth City, NC
National Provider Identifier
1245236959
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9601393 Issued in NC
Practice address
104 Mill End CT
Elizabeth City, NC 27909-8986
Phone
(252) 338-5183
Fax
(252) 338-5669
NPI assigned
Jun 27, 2005
Reactivated
Mar 24, 2006
Last updated
Nov 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9601393 NC Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 182382 NC

Addresses

Primary practice location

104 Mill End CT
Elizabeth City, NC 27909-8986

Mailing address

104 Mill End CT
Elizabeth City, NC 27909-8986
Phone (252) 338-5183

Other identifiers 1

IdentifierTypeStateIssuer
1129JMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050131000392 NC Practitioner - Internal MedicinePractitioner - Sleep Medicine 4183512650 Reassigns benefits to 2 organizations
I20180427000051 VA Practitioner - Internal Medicine 4183512650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manuli Internal Medicine PLLCGroup PAC ID 9032137690, 4 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

104 Mill End CT
Elizabeth City, NC 27909-8986
Phone (252) 338-5183

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9601393NCMDInternal Medicine Physician
182382NCMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manuli Internal Medicine, PLLC Internal Medicine CurrentSince Sep 15, 2005 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Internal Medicine CurrentSince Jan 20, 2018 Accepting new patients
Healogics Specialty Physicians of Virginia, LLC CurrentSince Feb 10, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1700 W Ehringhaus St
Elizabeth City, NC 27909
Phone (252) 331-1201

104 Mill End Ct
Elizabeth Cty, NC 27909
Phone (252) 338-5183

1121 N Road St
Ste A
Elizabeth Cty, NC 27909
Phone (252) 338-2144

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

901 Halstead Blvd
Elizabeth Cty, NC 27909
Phone (252) 338-0137

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

14010 Smoketown Rd
Ste 103
Woodbridge, VA 22192
Phone (571) 402-7322

Interoperability endpoints

  • Direct secure messaging: stevenmanuli@mimpl.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1245236959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MILL END CT",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098986",
            "telephone_number": "252-338-5183",
            "fax_number": "252-338-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MILL END CT",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098986",
            "telephone_number": "252-338-5183",
            "fax_number": "252-338-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANULI",
        "first_name": "STEVEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9601393",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NC",
            "license": "182382",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1129J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.