Individual provider Active NPI

Nicolas George Katsantonis, M.D.

  • Otolaryngology Physician
  • Raleigh, NC
National Provider Identifier
1710320510
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2018-00649 Issued in NC
Practice address
4600 Lake Boone TR
Suite 100
Raleigh, NC 27607
Phone
(919) 420-2027
Fax
(919) 571-8135
NPI assigned
Apr 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 2018-00649 NC Primary

Addresses

Primary practice location

4600 Lake Boone TR
Suite 100
Raleigh, NC 27607

Mailing address

4600 Lake Boone TR
Suite 100
Raleigh, NC 27607
Phone (919) 420-2027

Other practice location 1

1215 21st Ave S
7209 Medical Center East-South Tower
Nashville, TN 37232-8605
Phone (615) 343-6972

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NKatsantonis@raleighcapitolent.emadirect.md Direct

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
I20180705000481 NC Practitioner - Otolaryngology 0446553069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Capitol Ear Nose and ThroatGroup PAC ID 2860657509, 28 clinicians

Practice addresses (Care Compare)

4600 Lake Boone TRL
Suite 100
Raleigh, NC 27607-7529
Phone (919) 787-1374

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
93.93
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-00649NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Capitol Ear, Nose, and Throat Otolaryngology CurrentSince Aug 1, 2018 Accepting new patients
Capitol Ear, Nose & Throat PastSince Aug 1, 2018 Accepting new patients

Locations

2051 Ralph Stephens Rd
Holly Springs, NC 27540

4600 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 787-1374

4600 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (919) 420-2027

3010 Anderson Dr
Raleigh, NC 27609
Phone (919) 420-2029

Interoperability endpoints

  • Direct secure messaging: nkatsantonis@raleighcapitolent.emadirect.md
  • Direct secure messaging: ngkat@raleighcapitolent.emadirect.md

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1710320510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LAKE BOONE TR",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-420-2027",
            "fax_number": "919-571-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LAKE BOONE TR",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-420-2027",
            "fax_number": "919-571-8135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 21st Ave S",
            "address_2": "7209 Medical Center East-South Tower",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372328605",
            "country_code": "US",
            "telephone_number": "615-343-6972",
            "fax_number": "615-875-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSANTONIS",
        "first_name": "NICOLAS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2024-10-16",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2018-00649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NKatsantonis@raleighcapitolent.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "messages",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "messages",
            "address_1": "4600 Lake Boone Trl Ste 100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.