Individual provider Active NPI

Charles E Obiaja, M.D.

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1881804268
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008-01467 Issued in NC
Practice address
4242 Six Forks Rd Ste 1502
Raleigh, NC 27609-6084
Phone
(919) 364-5203
Fax
(919) 756-6667
NPI assigned
May 23, 2007
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2008-01467 NC Primary

Addresses

Primary practice location

4242 Six Forks Rd Ste 1502
Raleigh, NC 27609-6084

Mailing address

4242 Six Forks Rd Ste 1502
Raleigh, NC 27609-6084
Phone (919) 364-5023

Other identifiers 1

IdentifierTypeStateIssuer
59107737MedicaidNC

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
I20081106000700 NC Practitioner - Family Practice 6204995194 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iter Evigilans PLLC Family Medicine CurrentSince Mar 16, 2026 Accepting new patients
Anson Regional Medical Services, Inc. Family Medicine Past Accepting new patients

Locations

4242 Six Forks Rd
Raleigh, NC 27609
Phone (205) 493-0145

4242 Six Forks Rd
Ste 1502
Raleigh, NC 27609
Phone (919) 364-5203

Interoperability endpoints

  • Direct secure messaging: charles.obiaja@1057290302783492.direct.elationemr.com

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, 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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1881804268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 SIX FORKS RD STE 1502",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096084",
            "telephone_number": "919-364-5023",
            "fax_number": "919-756-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 SIX FORKS RD STE 1502",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096084",
            "telephone_number": "919-364-5203",
            "fax_number": "919-756-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIAJA",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-01467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59107737",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.