Individual provider Active NPI

Carlton Zdanski

  • Otolaryngology Physician
  • Chapel Hill, NC
National Provider Identifier
1336194125
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01173 Issued in NC
Practice address
101 Manning Dr
Chapel Hill, NC 27514-4423
Phone
(919) 843-4810
NPI assigned
May 23, 2006
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01173 NC Primary

Addresses

Primary practice location

101 Manning Dr
Chapel Hill, NC 27514-4423

Mailing address

143 W Franklin St
Chapel Hill, NC 27516-2539
Phone (919) 843-4810

Other identifiers 1

IdentifierTypeStateIssuer
89128HJMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070508000555 NC Practitioner - Otolaryngology 8527164508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of North Carolina at Chapel Hill School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

431 Meadowmont Village Cir
Chapel Hill, NC 27517-7506
Phone (984) 974-6484

4325 Lake Boone TRL
Raleigh, NC 27607-7510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Current Accepting new patients
University of North Carolina at Chapel Hill Otolaryngology CurrentSince Jul 1, 2001 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2001 Accepting new patients
Wakemed Faculty Practice Plan Past Accepting new patients
Wakemed Faculty Practice Plan Otolaryngology Past Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

2226 Nelson Hwy
Ste 101
Chapel Hill, NC 27517
Phone (919) 966-5251

431 Meadowmont Village Cir
Chapel Hill, NC 27517
Phone (984) 974-6484

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: czdanski31199@direct.unc.nchie.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1336194125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W FRANKLIN ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162539",
            "telephone_number": "919-843-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144423",
            "telephone_number": "919-843-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDANSKI",
        "first_name": "CARLTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "01173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128HJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.