RALEIGH CAPITOL EAR, NOSE, AND THROAT
NPI 1902170442
Otolaryngology in Raleigh, NC

Active since March 01, 2012CLIA 34D2045672 · Waiver
4600 LAKE BOONE TRL, RALEIGH, NC 27607(919) 787-1374(919) 420-2028 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2026, Oct 6, 2022, Aug 16, 2022 (3 updates tracked since 2022).

About Raleigh Capitol Ear, Nose, And Throat NPPES

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

RALEIGH CAPITOL EAR, NOSE, AND THROAT (NPI 1902170442) is a healthcare organization registered as an otolaryngology in Raleigh, North Carolina and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through August 16, 2028 and lists Jenny C Beal, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1902170442
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameRALEIGH CAPITOL EAR, NOSE, AND THROAT
Location Address4600 LAKE BOONE TRLRaleigh, NC 27607-7528
Mailing Address4600 Lake Boone TrlRaleigh, NC 27607-7528 · (919) 787-1374 · Fax (919) 571-8135
Fax(919) 420-2028
Organization SubpartNo
Authorized OfficialJenny C BealBilling Manager · (919) 809-8140
Enumeration DateMarch 1, 2012
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1902170442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4600 LAKE BOONE TRL, Raleigh, NC 27607

Other Identifiers 1

MedicaidPE-YPU8T38FANC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raleigh Capitol Ear, Nose, And Throat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Raleigh Capitol Ear, Nose, And Throat, which bills Medicare for the services they deliver. Of these, 31 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Qualified Audiologist22
Otolaryngology21
Allergy/Immunology2

Nearest to this location (20)

See all 45
Otolaryngology
NPI 1811566151
4600 LAKE BOONE TRL
Raleigh, NC 27607
(919) 787-1374
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1295783199
4600 LAKE BOONE TRAIL SUITE 100
Raleigh, NC 27607
(919) 787-1374
✔ PECOSSame address
Otolaryngology
NPI 1598747313
4600 LAKE BOONE TR SUITE 100
Raleigh, NC 27607
(919) 420-2027
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1487603700
4600 LAKE BOONE TRAIL SUITE 100
Raleigh, NC 27607
(919) 787-1374
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1922549179
4600 LAKE BOONE TR. SUITE 100
Raleigh, NC 27607
(919) 420-2027
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1396793949
4600 LAKE BOONE TRAIL SUITE 100
Raleigh, NC 27607
(919) 787-1374
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1316922412
4600 LAKE BOONE TR SUITE 100
Raleigh, NC 27607
(919) 420-2027
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1437107430
4600 LAKE BOONE TRAIL SUITE 100
Raleigh, NC 27607
(919) 787-1374
✔ PECOSSame address
Otolaryngology
NPI 1972573608
4600 LAKE BOONE TR SUITE 100
Raleigh, NC 27607
(919) 420-2027
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1679921779
4600 LAKE BOONE TR SUITE 100
Raleigh, NC 27607
(197) 871-3749
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1972396638
4600 LAKE BOONE TRL STE 100
Raleigh, NC 27607
(919) 787-1374
✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1942861927
4600 LAKE BOONE TR SUITE 100
Raleigh, NC 27607
(919) 787-1374
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1053965491
4600 LAKE BOONE TRL STE 100
Raleigh, NC 27607
(919) 787-1374
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1942744230
4600 LAKE BOONE TRL
Raleigh, NC 27607
(919) 787-1374
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1386269892
4600 LAKE BOONE TR SUITE 100
Raleigh, NC 27607
(919) 787-1374
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1487548764
4600 LAKE BOONE TRL STE 100
Raleigh, NC 27607
(919) 450-2029
Same address
Qualified Audiologist
NPI 1750214599
4600 LAKE BOONE TRL STE 100
Raleigh, NC 27607
(919) 420-2029
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1881580371
4600 LAKE BOONE TRL STE 100
Raleigh, NC 27607
(843) 441-1077
Same address
Qualified Audiologist
NPI 1750555207
4600 LAKE BOONE TRL SUITE 100
Raleigh, NC 27607
(919) 787-1374
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1043489834
4600 LAKE BOONE TRAIL SUITE 100
Raleigh, NC 27607
(919) 787-1374
✔ Accepts MedicareSame address
See all 45 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2045672

Raleigh Capitol Ear, Nose And Throat · Raleigh, NC
Active · expires Aug 16, 2028
CLIA Number34D2045672
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorStanley A. Wilkins
Laboratory Phone(919) 787-1374
Laboratory LocationRaleigh Capitol Ear, Nose And Throat4600 Lake Boone Trail, Ste 100, Raleigh, NC 27607
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Raleigh Capitol Ear, Nose, And Throat's NPI number?

The NPI number for Raleigh Capitol Ear, Nose, And Throat is 1902170442. It was assigned to this organization in the NPPES registry on March 1, 2012.

Where is Raleigh Capitol Ear, Nose, And Throat located?

Raleigh Capitol Ear, Nose, And Throat is located at 4600 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 787-1374.

What is Raleigh Capitol Ear, Nose, And Throat's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Raleigh Capitol Ear, Nose, And Throat enrolled in Medicare?

Yes. Raleigh Capitol Ear, Nose, And Throat is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Raleigh Capitol Ear, Nose, And Throat?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 3 Medicare specialties reassign their Medicare billing to Raleigh Capitol Ear, Nose, And Throat. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Qualified Audiologist (22), Otolaryngology (21) and Allergy/Immunology (2). Of these, 31 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Raleigh Capitol Ear, Nose, And Throat hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2045672) is associated with this NPI, valid through August 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Raleigh Capitol Ear, Nose, And Throat accept?

Health plans from Blue Cross and Blue Shield of NC list Raleigh Capitol Ear, Nose, And Throat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raleigh Capitol Ear, Nose, And Throat was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.