Manuel Edwardo Cantillo, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2021-02990 Issued in NC

Practice address

3916 Ben Franklin Blvd
Durham, NC 27704-2383

Phone

(919) 956-9300

Fax

(919) 287-1600

NPI assigned

Jul 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Chicago College of Osteopathy, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pai Participant 29 PCGroup PAC ID 6002216215, 23 clinicians

M Medical NC PLLCGroup PAC ID 3870035066, 32 clinicians

North Carolina Specialty Hospital LLCGroup PAC ID 1254386048, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Carolina Specialty Hospital Hospital, Durham, NC, CCN 340049
• The Laurels of Forest Glenn Nursing home, Garner, NC, CCN 345389

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcantillo505648@direct.medicine.duke.edu

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Oak Health Care Investors of North Carolina, Inc

  • Skilled Nursing Facility
  • Garner, NC
  • NPI 1427003110

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• M Medical NC PLLC

  • Internal Medicine Physician
  • Lexington, NC
  • NPI 1770337412
  Medicare reassignment Care Compare group NPD
• North Carolina Specialty Hospital LLC

  • General Acute Care Hospital
  • Durham, NC
  • NPI 1437221785
  Medicare reassignment Care Compare group NPD
• Pai Participant 29, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lexington, NC
  • NPI 1245813757
  Medicare reassignment Care Compare group NPD
• North Carolina Specialty Hospital LLC

  • Hospitalist Physician
  • Durham, NC
  • NPI 1467972703

  Internal Medicine

  NPD
• North Carolina Specialty Hospital LLC

  • Surgery Physician
  • Durham, NC
  • NPI 1740996875
  NPD
• Universal Health Care Lillington, Inc.

  • Skilled Nursing Facility
  • Lillington, NC
  • NPI 1235370750
  NPD (past)

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

• North Carolina Specialty Hospital LLC

  • General Acute Care Hospital
  • Durham, NC
  • NPI 1437221785
  Care Compare affiliation
• Oak Health Care Investors of North Carolina, Inc

  • Skilled Nursing Facility
  • Garner, NC
  • NPI 1427003110

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1407054976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 BOULDER CREEK LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042383",
            "telephone_number": "919-956-9300",
            "fax_number": "919-287-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTILLO",
        "first_name": "MANUEL",
        "middle_name": "EDWARDO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2021-02990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407054976",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232625",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Noel Canipe, CCC-SLP
• Rosalinda Cacha Canizares, DPT
• Tracy Cannady, MA/CAS, LPA
• Carlos Cano-Solis
• Miranda Cano
• Michael Cantor
• Amanda Cantrell, MSW, LCSW
• Holly Causey Canupp, PHARMD
• Canvas Hypnosis, L.L.C.
• Devin Y Cao, MD

• Internal Medicine Physician in Durham, NC
• Providers in Durham, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.