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

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1457611337

Mario Christianto, MD is a Critical Care (Intensivists) in Raleigh, North Carolina. Qualified in 2008, 18 years ago. Practices with Northwest Iowa Hospital Corporation, a 132-clinician group and accepts Medicare assignment. Licensed in North Carolina and New Jersey.

Years since qualifying
18
Licensed in
NC, NJ
In the registry since
2012
Specialties on file
3
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

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 25MA10196500 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2013-02334 (NC)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 25MA10196500 (NJ)

Record details

NPI number1457611337
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 24, 2012
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 18, 2021

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesPULMONARY DISEASE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Northwest Iowa Hospital Corporation — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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