Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Athanasios Kostandinos Manole, MD

Individual provider Preventive Medicine/Occupational Environmental Medicine Physician · NPI 1780002220

Dr. Athanasios Kostandinos Manole, MD is an Interventional Pain Management in Albuquerque, New Mexico. Graduated from University of New Mexico School of Medicine in 2014, 12 years ago. Practices with Modern Pain and Spine PC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
12
Trained at
University of New Mexico School of Medicine
Licensed in
NM
In the registry since
2014
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1540 Juan Tabo Blvd NE Ste A
Albuquerque, NM 87112-4460
Phone: (505) 529-8511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence MD2015-0915 (NM)
Preventive Medicine/Occupational Environmental Medicine Physician Taxonomy 2083P0500X · Licence MD20150915 (NM)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence MD2015-0915 (NM)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence MD2015-0915 (NM)

Record details

NPI number1780002220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 2, 2014
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026
Mailing address1540 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87112-4460

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Modern Pain And Spine Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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