Individual provider Active NPI

Michael Joseph Bianconi

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1477529907
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7828 Issued in NH
Practice address
11200 Governor Manly Way Ste 205
Raleigh, NC 27614-7367
Phone
(919) 570-7700
Fax
(919) 570-7701
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7828 NH Primary

Addresses

Primary practice location

11200 Governor Manly Way Ste 205
Raleigh, NC 27614-7367

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other practice location 1

330 Borthwick Ave
Suite 205
Portsmouth, NH 03801-4174
Phone (603) 436-6115

Other identifiers 3

IdentifierTypeStateIssuer
435463199MedicaidME
30002470MedicaidNH
P00767625OtherNHRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbianconi132801@direct.UNC.nchie.net Direct

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
I20131118000991 NC Practitioner - HospitalistPractitioner - Internal Medicine 7315945706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

6330 Quadrangle Dr
Suite 175
Chapel Hill, NC 27517-7813
Phone (919) 445-6000

Hospital & facility affiliations

  • Medi Home Health Agency Home health agency, Raleigh, NC, CCN 347237
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7828NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Current Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Oct 7, 2013 Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Oct 7, 2013 Accepting new patients
Sterling Hospitalists Services of NH, Inc Internal Medicine Past Accepting new patients
Appledore Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

6330 Quadrangle Dr
Ste 175
Chapel Hill, NC 27517
Phone (919) 445-6000

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

6602 Knightdale Blvd
Ste 202
Knightdale, NC 27545
Phone (919) 747-5210

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

11200 Governor Manly Way
Ste 205
Raleigh, NC 27614
Phone (919) 570-5900

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: mbianconi132801@direct.unc.nchie.net

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 3

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1477529907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY STE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147367",
            "telephone_number": "919-570-7700",
            "fax_number": "919-570-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Borthwick Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014174",
            "country_code": "US",
            "telephone_number": "603-436-6115",
            "fax_number": "603-433-5567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIANCONI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "7828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435463199",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30002470",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00767625",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbianconi132801@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "11200 Governor Manly Way Ste 205",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276147367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.