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

Elise Ann Maggioncalda, MD

Individual provider Diagnostic Radiology Physician · NPI 1710470695

Elise Ann Maggioncalda, MD is a Diagnostic Radiology in Charlotte, North Carolina. Qualified in 2018, 8 years ago. Practices with Mecklenburg Radiology Associates PA, a 94-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Florida, North Carolina and South Carolina.

Years since qualifying
8
Licensed in
FL, NC, SC
In the registry since
2018
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

3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117
Phone: (704) 332-1291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 800 Meadows Rd, Boca Raton, FL 33486-2304 — (843) 602-5685
  • 2000 Old Clinic Cb# 7510, Chapel Hill, NC 27599-0001 — (984) 974-1884
  • 2006 Old Clnic Cb# 7510, Chapel Hill, NC 27599-0001 — (919) 966-4180
  • Internal Medicine Clinic, Columbia, SC 29203 — (803) 434-4153

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2023-01751 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME169275 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence LL52684 (SC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence RTL19-0209 (NC)

Record details

NPI number1710470695
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mecklenburg Radiology Associates Pa — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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