Individual provider Active NPI

Eva M Manitius, M.D.

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1932162120
Registry record updated May 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9400914 Issued in NC
Practice address
10831 Forest Pines Dr Ste 110
Raleigh, NC 27614-8077
Phone
(919) 570-9090
Fax
(919) 570-9043
NPI assigned
Apr 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2019

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 9400914 NC Primary

Addresses

Primary practice location

10831 Forest Pines Dr Ste 110
Raleigh, NC 27614-8077

Mailing address

10831 Forest Pines Dr Ste 110
Raleigh, NC 27614-8077
Phone (919) 570-9090

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
I20111128000700 NC Practitioner - Internal Medicine 4284808478 Practice locations: Raleigh, NC

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

10831 Forest Pines Dr
Raleigh, NC 27614-8077
Phone (919) 570-9090

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9400914NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Primary Medicine and Nutrition Center PastSince Dec 20, 1999 Accepting new patients

Organizations & group practices 1

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 2

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": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1932162120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10831 FOREST PINES DR STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148077",
            "telephone_number": "919-570-9090",
            "fax_number": "919-570-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10831 FOREST PINES DR STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148077",
            "telephone_number": "919-570-9090",
            "fax_number": "919-570-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANITIUS",
        "first_name": "EVA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-09",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9400914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.