Active NPI
Avani Sanjeev Mangoli, DO
- Pediatric Hematology & Oncology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 2019-00440
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-00440 | NC | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| The Presbyterian Hospital | Hematology & Oncology | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | 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
- amangoli2956473@carolinashealthcaresystem.direct-ci.com
- 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.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Internal Medicine Physician
- Durham, NC
- NPI 1376574798
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1477584894
-
- Hematology & Oncology Physician
- Charlotte, NC
- NPI 1275256422
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.