Individual provider Active NPI

Rayan N Kaakati, MD

  • Allergy & Immunology Physician
  • Raleigh, NC
National Provider Identifier
1942861927
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2022-00507 Issued in NC
Practice address
4600 Lake Boone TR
Suite 100
Raleigh, NC 27607
Phone
(919) 787-1374
Fax
(919) 571-8135
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2022-00507 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) 787-1374

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
I20240409000982 NC Practitioner - Allergy/Immunology 8729314752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Duke University School of Medicine, 2019
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

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
2022-00507NCMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Capitol Ear, Nose, and Throat CurrentSince May 21, 2024 Accepting new patients
Capitol Ear, Nose & Throat PastSince May 21, 2024 Accepting new patients

Locations

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

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

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1942861927",
    "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": "919-787-1374",
            "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": "919-787-1374",
            "fax_number": "919-571-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAKATI",
        "first_name": "RAYAN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2022-00507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.