Organization Active NPI

Triangle Sinus Center PLLC

Doing business as Triangle Sinus Center

  • Otolaryngology Physician
  • Raleigh, NC
National Provider Identifier
1679346944
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
TRIANGLE SINUS CENTER PLLC
Doing business as
Triangle Sinus Center
Practice address
3906 Wake Forest Rd
Raleigh, NC 27609-6867
Phone
(919) 766-8989
Fax
(919) 766-8896
NPI assigned
Oct 30, 2023
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Kashif Mazhar, MDNPI 1588985378
Title
Owner
Phone
(919) 766-8989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

3906 Wake Forest Rd
Raleigh, NC 27609-6867

Mailing address

3906 Wake Forest Rd
Raleigh, NC 27609-6867
Phone (919) 766-8989

Other names 1

  • Triangle Sinus Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240314002499 NC Part B Supplier - Clinic/Group Practice 8820434665 Receives reassigned benefits from 6 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

3906 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 766-8989

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1679346944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096867",
            "telephone_number": "919-766-8989",
            "fax_number": "919-766-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096867",
            "telephone_number": "919-766-8989",
            "fax_number": "919-766-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE SINUS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "MAZHAR",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-766-8989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Sinus Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Triangle Sinus Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.