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WHITE OAK PEDIATRIC ASSOCIATES PA
NPI 1902953045
Specialist in Raleigh, NC

Active since January 04, 2007CLIA 34D0240591 · Certificate of Compliance
4414 LAKE BOONE TRL, SUITE 103, RALEIGH, NC 27607(919) 787-0266(919) 571-9314 Get Directions Write a Review

NPPES record last updated: October 15, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About White Oak Pediatric Associates Pa NPPES

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

WHITE OAK PEDIATRIC ASSOCIATES PA (NPI 1902953045) is a healthcare organization registered as a specialist in Raleigh, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 30, 2028 and lists Robert Lawrence Munt, Md, as its authorized official.

NPPES Registry Identity

NPI1902953045
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWHITE OAK PEDIATRIC ASSOCIATES PA
Location Address4414 LAKE BOONE TRL, SUITE 103Raleigh, NC 27607-7513
Mailing Address4414 Lake Boone Trl, Suite 103Raleigh, NC 27607-7513 · (919) 787-0266 · Fax (919) 571-9314
Phone(919) 787-0266
Fax(919) 571-9314
Organization SubpartNo
Authorized OfficialRobert Lawrence MuntMd · (919) 787-0266
Enumeration DateJanuary 4, 2007
Last NPPES UpdateOctober 15, 2013
✔ NPI 1902953045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 21831
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4414 LAKE BOONE TRL, Raleigh, NC 27607
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Other Identifiers 5

Medicare UPINC81859NC
Medicare UPINF43919NC
Medicare UPING67081NC
Medicare UPING87284NC
Medicare UPINH17432NC

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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)

White Oak Pediatric Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to White Oak Pediatric Associates PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Robert Munt, MD
Pediatric Medicine
NPI 1063464485
4414 LAKE BOONE TRAIL SUITE 103
Raleigh, NC 27607
(919) 787-0266
✔ PECOSSame address
Judith Daumen, MD
Pediatric Medicine
NPI 1477504272
4414 LAKE BOONE TRAIL SUITE 103
Raleigh, NC 27607
(919) 787-0266
✔ PECOSSame address
Kasey Joyner, MD
Pediatric Medicine
NPI 1548589609
4414 LAKE BOONE TRL
Raleigh, NC 27607
(919) 787-0266
✔ PECOSSame address

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 Compliance 34D0240591

White Oak Pediatric Associates, PA · Raleigh, NC
Active · expires Jan 30, 2028
CLIA Number34D0240591
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorMason He
Laboratory Phone(919) 787-0266
Laboratory LocationWhite Oak Pediatric Associates, PA4414 Lake Boone Trail Suite 103, Raleigh, NC 27607
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 White Oak Pediatric Associates PA's NPI number?

The NPI number for White Oak Pediatric Associates PA is 1902953045. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is White Oak Pediatric Associates PA located?

White Oak Pediatric Associates PA is located at 4414 Lake Boone Trl Suite 103, Raleigh, NC 27607. The listed phone number is (919) 787-0266.

What is White Oak Pediatric Associates PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is White Oak Pediatric Associates PA enrolled in Medicare?

Yes. White Oak Pediatric Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through White Oak Pediatric Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Pediatric Medicine, reassign their Medicare billing to White Oak Pediatric Associates PA. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does White Oak Pediatric Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0240591) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does White Oak Pediatric Associates PA accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list White Oak Pediatric Associates PA 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 White Oak Pediatric Associates PA was last updated on October 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.