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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS A COLUCCIELLO MD
NPI 1952989311
Internal Medicine in Charlotte, NC

Active since March 29, 2021PECOS Enrolled
1350 S KINGS DR FL 3, CHARLOTTE, NC 28207(704) 446-1242 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 24, 2026, Jun 9, 2023, Mar 28, 2023 and 4 more (7 updates tracked since 2021).

About Nicholas A Colucciello Md NPPES

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

NICHOLAS A COLUCCIELLO MD (NPI 1952989311) is an individual internal medicine provider in Charlotte, North Carolina, licensed in South Carolina (98027) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952989311
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS A COLUCCIELLOCredential: MD
Location Address1350 S KINGS DR FL 3Charlotte, NC 28207-2134
Mailing Address1350 S Kings Dr Fl 3Charlotte, NC 28207-2134 · (704) 446-1242
Phone(704) 446-1242
Sole ProprietorYes
Enumeration DateMarch 29, 2021
Last NPPES UpdateAugust 24, 20267 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1952989311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 98027
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1350 S KINGS DR FL 3, Charlotte, NC 28207
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas A Colucciello Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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.

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 Nicholas Colucciello's NPI number?

The NPI number for Nicholas Colucciello is 1952989311. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Nicholas Colucciello located?

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

What is Nicholas Colucciello's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Colucciello enrolled in Medicare?

Yes. Nicholas Colucciello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Colucciello was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.