Active NPI
Peter Manolukas, DO
- Internal Medicine Physician
- Wilmington, NC
National Provider Identifier
1487674990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2010-00616
- Practice address
- 7420 Market St
Wilmington, NC 28411-9453 - Phone
- (910) 686-2525
- NPI assigned
- Jul 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2010-00616 | NC | Primary |
Addresses
Primary practice location
7420 Market St
Wilmington, NC 28411-9453
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1960 S 16th St
Wilmington, NC 28401-6676
Phone (910) 343-9991
Other practice location 2
1333 S Dickinson Dr
Leland, NC 28451-6430
Phone (910) 332-0241
Other practice location 3
510 Carolina Bay Dr
Ste 110
Wilmington, NC 28403-2041
Phone (910) 662-6000
Other practice location 4
5145 S College Rd
Wilmington, NC 28412-2207
Phone (910) 792-1144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1487674990",
"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": "7420 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119453",
"telephone_number": "910-686-2525"
}
],
"practiceLocations": [
{
"address_1": "1960 S 16th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016676",
"country_code": "US",
"telephone_number": "910-343-9991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1333 S Dickinson Dr",
"address_purpose": "LOCATION",
"city": "Leland",
"state": "NC",
"postal_code": "284516430",
"country_code": "US",
"telephone_number": "910-332-0241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Carolina Bay Dr",
"address_2": "Ste 110",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284032041",
"country_code": "US",
"telephone_number": "910-662-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5145 S College Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284122207",
"country_code": "US",
"telephone_number": "910-792-1144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANOLUKAS",
"first_name": "PETER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2010-00616",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "7420 Market St",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284119453",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.