Individual provider Active NPI

Maritza Manrique-Kiniry, MD

  • Obstetrics & Gynecology Physician
  • Monroe, NC
National Provider Identifier
1275557647
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2019-02521 Issued in NC
Practice address
1550 Faulk St
Ste 2100
Monroe, NC 28112-5086
Phone
(704) 289-2553
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 40364 SC
Obstetrics & Gynecology Physician 207V00000X 2019-02521 NC Primary

Addresses

Primary practice location

1550 Faulk St
Ste 2100
Monroe, NC 28112-5086

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

2700 Providence Rd S
Ste 200
Waxhaw, NC 28173-6313
Phone (704) 667-6725

Other practice location 2

6030 W Highway 74
Ste B
Indian Trail, NC 28079-3468
Phone (704) 289-2553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191231000758 NC Practitioner - Obstetrics/Gynecology 3476551292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J. Arthur Dosher Memorial HospitalGroup PAC ID 8921910324, shared by 6 NPIs, 53 clinicians

Practice addresses (Care Compare)

823 N Atlantic Ave
Southport, NC 28461-3531
Phone (910) 457-3827

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40364SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Obstetrics & Gynecology CurrentSince Nov 18, 2019 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Jan 6, 2026 Accepting new patients
J. Arthur Dosher Memorial Hospital Current Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Jan 6, 2026 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 18, 2019 Accepting new patients
J. Arthur Dosher Memorial Hospital Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

6030 W Highway 74
Ste B
Indian Trail, NC 28079
Phone (704) 289-2553

1550 Faulk St
Ste 2100
Monroe, NC 28112
Phone (704) 246-2889

821 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

823 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

2700 S Providence Rd
Ste 200
Waxhaw, NC 28173
Phone (704) 289-2553

Interoperability endpoints

  • Direct secure messaging: mmanriquekiniry253712@direct.musc.edu
  • Direct secure messaging: mmanriquekiniry293048@directb.mercy.net
  • Direct secure messaging: maritza.manriquekiniry@dosher.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1275557647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 FAULK ST",
            "address_2": "STE 2100",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125086",
            "telephone_number": "704-289-2553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Providence Rd S",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281736313",
            "country_code": "US",
            "telephone_number": "704-667-6725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6030 W Highway 74",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280793468",
            "country_code": "US",
            "telephone_number": "704-289-2553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANRIQUE-KINIRY",
        "first_name": "MARITZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "40364",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2019-02521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.