MANI LAMA MD
NPI 1649425455
Hospitalist in Huntersville, NC

Active since November 20, 2008PECOS EnrolledAccepts Medicare Assignment
10030 GILEAD RD, HUNTERSVILLE, NC 28078(704) 316-3789(704) 316-6785 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 26, 2020, Aug 19, 2019 (2 updates tracked since 2019).

About Mani Lama Md NPPES

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

MANI LAMA MD (NPI 1649425455) is an individual hospitalist provider in Huntersville, North Carolina, licensed in North Carolina (2019-01576) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1649425455
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMANI LAMACredential: MD
Location Address10030 GILEAD RDHuntersville, NC 28078-7545
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-3789 · Fax (704) 316-6785
Fax(704) 316-6785
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 20, 2008
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2020
✔ NPI 1649425455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 2019-01576
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2019-01576 (NC), 60253 (WI), 47964 (CO)
10030 GILEAD RD, Huntersville, NC 28078

Secondary Practice Location 1

Location 12320 N Lake Dr, Room 3603Milwaukee, WI 53211-4507 · Phone (414) 270-4932 · Fax (414) 291-5195

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mani Lama Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981742046
PECOS Enrollment IDI20191015000949
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Mani Lama reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
10030 GILEAD RD STE 300
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
Specialist
10030 GILEAD RD
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8201 HEALTHCARE LOOP
Charlotte, NC 28215
  • Reassigned Medicare billing, North Carolina enrollment
  • 703 clinicians in this Medicare group
Specialist
1500 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 649 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
10905 PROVIDENCE RD W
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 422 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
425 services159 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
99 services98 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
87 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
60 services59 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers44 claims44 services$67.52 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$30.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10030 GILEAD RD
HUNTERSVILLE, NC 28078
Occupational Therapist
10030 GILEAD RD
HUNTERSVILLE, NC 28078
Specialist/Technologist (Athletic Trainer)
10030 GILEAD RD, SUITE 140
HUNTERSVILLE, NC 28078
Specialist
10030 GILEAD RD
HUNTERSVILLE, NC 28078
Nurse Practitioner
10030 GILEAD RD
HUNTERSVILLE, NC 28078
Nurse Practitioner
10030 GILEAD RD
HUNTERSVILLE, NC 28078
Speech-Language Pathologist
10030 GILEAD RD, SUITE B100
HUNTERSVILLE, NC 28078
Hospitalist
10030 GILEAD RD
HUNTERSVILLE, NC 28078

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 Lama's NPI number?

The NPI number for Mani Lama is 1649425455. It was assigned to this individual provider in the NPPES registry on November 20, 2008.

Where is Mani Lama located?

Mani Lama practices at 10030 Gilead Rd, Huntersville, NC 28078. The listed phone number is (704) 316-3789.

What is Mani Lama's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mani Lama enrolled in Medicare?

Yes. Mani Lama is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mani Lama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mani Lama reassigns Medicare benefits to 5 organizations: Novant Health Medical Group, LLC (Huntersville, NC), The Presbyterian Hospital (Huntersville, NC), Novant Health Mint Hill Medical Center, LLC (Charlotte, NC), Novant Health Matthews Medical Center LLC (Matthews, NC) and Novant Health Ballantyne Medical Center LLC (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mani Lama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mani Lama accept?

Health plans from Cigna Healthcare list Mani Lama as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mani Lama affiliated with any hospitals?

According to CMS data, Mani Lama is affiliated with Novant Health Presbyterian Medical Center and Novant Health Huntersville Medical Center.

When was this NPI record last updated?

The NPPES record for Mani Lama was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.