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

Marc Angelo Mancuso, MD

Individual provider Pediatric Radiology Physician · NPI 1063498418

Marc Angelo Mancuso, MD is a Diagnostic Radiology in Charlotte, North Carolina. Graduated from University of Massachusetts Medical School in 2001, 25 years ago. Practices with Charlotte Radiology PA, a 218-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts, North Carolina, New Hampshire and South Carolina.

Years since qualifying
25
Trained at
University of Massachusetts Medical School
Licensed in
MA, NC, NH, SC
In the registry since
2005
Specialties on file
5
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

700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone: (704) 334-7800
Fax: (704) 414-7512
Show map & directions

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

Additional practice locations (1)

  • 1701 East Blvd, Charlotte, NC 28203-5823 — (704) 334-7800

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 200700335 (NC)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 200700335 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 12626 (NH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 227556 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 29892 (SC)

Record details

NPI number1063498418
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 19, 2005
Last updated in NPPESDecember 20, 2017

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2001 (25 years in practice)
Group practice Charlotte Radiology Pa — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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