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DR. CHARLES M MANGANIELLO M.D.
NPI 1861490310
General Practice in Duryea, PA

Active since July 08, 2005PECOS Enrolled

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles M Manganiello M.d. NPPES

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

DR. CHARLES M MANGANIELLO M.D. (NPI 1861490310) is an individual general practice provider in Duryea, Pennsylvania, licensed in Pennsylvania (MD037791L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861490310
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CHARLES M MANGANIELLOCredential: M.D.
Location Address605 MAIN STDuryea, PA 18642-1325
Mailing AddressPo Box 1388Kingston, PA 18704-0379 · (570) 288-8881 · Fax (570) 288-8065
Phone(570) 457-1110
Sole ProprietorNo
Enumeration DateJuly 8, 2005
Last NPPES UpdateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1861490310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · MD037791L
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
605 MAIN ST, Duryea, PA 18642
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Other Identifiers 6

Other14821 E222PA · Geisinger Health Plan
Medicaid0013919460001PA
Other024946PA · Highmark Blue Shield
Other024946PA · First Priority Life Ins C
Other001216PA · First Priority Health
Other020338000PA · Black Lung

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles M Manganiello M.d. 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims24 services$11.92 avg. paid by Medicare
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
3 suppliers19 claims19 services$52.51 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 2

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

GUY MICHAEL FASCIANA M.D.
Internal Medicine
605 MAIN ST
DURYEA, PA 18642
Luzerne County (570) 457-1110
GUY MICHAEL FASCIANA MD
Internal Medicine
605 MAIN ST
DURYEA, PA 18642
Luzerne County (570) 457-1110

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 Charles Manganiello's NPI number?

The NPI number for Charles Manganiello is 1861490310. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Charles Manganiello located?

Charles Manganiello practices at 605 Main St, Duryea, PA 18642. The listed phone number is (570) 457-1110.

What is Charles Manganiello's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Charles Manganiello enrolled in Medicare?

Yes. Charles Manganiello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Manganiello was last updated on March 25, 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.