Individual provider Active NPI

Avani Sanjeev Mangoli, DO

  • Pediatric Hematology & Oncology Physician
  • Charlotte, NC
National Provider Identifier
1700237336
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
2019-00440 Issued in NC
Practice address
301 Hawthorne LN Ste 100
Charlotte, NC 28204-2467
Phone
(704) 384-1900
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 2019-00440 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X UO5120 FL

Addresses

Primary practice location

301 Hawthorne LN Ste 100
Charlotte, NC 28204-2467

Mailing address

Hanes House Room 378, Dumc Box 102382 315 Trent Drive
Durham, NC 27710-0001

Other practice location 1

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 668-6288

Other practice location 2

86 W Underwood St
Orlando, FL 32806-1110
Phone (407) 649-6876

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
I20230727003882 NC Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 5597050492 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-00440NCMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Dec 9, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 8, 2023 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 8, 2023 Accepting new patients
Carolinas Medical Center Current Accepting new patients
The Presbyterian Hospital CurrentSince Nov 8, 2025 Accepting new patients
Duke University Health System, Inc. Current Accepting new patients
Carolinas Medical Center CurrentSince Dec 9, 2024 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 8, 2023 Accepting new patients
The Presbyterian Hospital Hematology & Oncology CurrentSince Nov 8, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 8, 2023 Accepting new patients
Orlando Health Medical Group Inc Pediatric Hematology-Oncology Past Accepting new patients
Orlando Health Medical Group Inc Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

301 Hawthorne Ln
Ste 100
Charlotte, NC 28204
Phone (704) 384-1900

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

4709 Creekstone Dr
Ste 300
Durham, NC 27703
Phone (919) 660-5066

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

Interoperability endpoints

  • Direct secure messaging: amangoli2956473@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: amangoli427426@direct.medicine.duke.edu

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1700237336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HANES HOUSE ROOM 378, DUMC BOX 102382 315 TRENT DRIVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HAWTHORNE LN STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042467",
            "telephone_number": "704-384-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-668-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 W Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "407-649-6876",
            "fax_number": "407-872-0544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGOLI",
        "first_name": "AVANI",
        "middle_name": "SANJEEV",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NC",
            "license": "2019-00440",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO5120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.