1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MANI JACOB KALLUPURACKAL DO
NPI 1154171650
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Active since March 26, 2024PECOS Enrolled
1350 S KINGS DR FL 3, CHARLOTTE, NC 28207(704) 446-1242 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mani Jacob Kallupurackal Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANI JACOB KALLUPURACKAL DO (NPI 1154171650) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154171650
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMANI JACOB KALLUPURACKALCredential: DO
Location Address1350 S KINGS DR FL 3Charlotte, NC 28207-2134
Mailing Address1350 S Kings Dr Fl 3Charlotte, NC 28207-2134
Phone(704) 446-1242
Sole ProprietorYes
Enumeration DateMarch 26, 2024
Last NPPES UpdateApril 24, 2026
NPPES CertifiedApril 24, 2026
✔ NPI 1154171650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1350 S KINGS DR FL 3, Charlotte, NC 28207
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mani Jacob Kallupurackal Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM DAVID LAIDIG
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
MARYAM ZOABI DO
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
ELAINE PATEL MD
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
DONALD ELLIS DEEP DO
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
PRIYANKA MOHANTY DO
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
VICTORIA MAE KONIUK DO
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
CAROLINE HORNE
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
DR. CHRISTOPHER LANE HATCHER JR. MD
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mani Kallupurackal's NPI number?

The NPI number for Mani Kallupurackal is 1154171650. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Mani Kallupurackal located?

Mani Kallupurackal practices at 1350 S Kings Dr Fl 3, Charlotte, NC 28207. The listed phone number is (704) 446-1242.

What is Mani Kallupurackal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mani Kallupurackal enrolled in Medicare?

Yes. Mani Kallupurackal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mani Kallupurackal was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.