Active NPI
Charles Walter Scarantino, MD, PHD
- Radiation Oncology Physician
- Raleigh, NC
National Provider Identifier
1891745352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 19395
- Practice address
- 4420 Lake Boone TRL Ste 102
Raleigh, NC 27607-7505 - Phone
- (919) 784-3018
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 19395 | NC | |
| Radiation Oncology Physician | 2085R0001X | 19395 | NC | Primary |
Addresses
Primary practice location
4420 Lake Boone TRL Ste 102
Raleigh, NC 27607-7505
Mailing address
909 Blenheim Dr
Raleigh, NC 27612-4906
Phone (919) 787-7478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients | |
| Triangle Radiation Oncology Services, Inc. | Radiation Oncology | Past | Accepting new patients |
Interoperability endpoints
- cscarantino30247@direct.unc.nchie.net
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
-
- Radiation Oncology Physician
- Raleigh, NC
- NPI 1902835101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1891745352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 BLENHEIM DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124906",
"telephone_number": "919-787-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 LAKE BOONE TRL STE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077505",
"telephone_number": "919-784-3018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARANTINO",
"first_name": "CHARLES",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "19395",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "19395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.