Individual provider Active NPI

Christopher James Van Ooteghem, PA-C

  • Medical Physician Assistant
  • Raleigh, NC
National Provider Identifier
1992709935
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
104049 Issued in NC
Practice address
4530 Fayetteville Rd
Raleigh, NC 27603-3614
Phone
(919) 235-1930
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 104049 NC
Medical Physician Assistant 363AM0700X 104049 NC Primary

Addresses

Primary practice location

4530 Fayetteville Rd
Raleigh, NC 27603-3614

Mailing address

PO Box 602195
Charlotte, NC 28260-2195
Phone (919) 350-0351

Other practice location 1

3900 Browning Pl Ste 101
Raleigh, NC 27609-6529
Phone (919) 781-9650

Other identifiers 2

IdentifierTypeStateIssuer
Q36915OtherNCUPIN
1992709935MedicaidNC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000927 NC Practitioner - Physician Assistant 1355394370 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians

Practice addresses (Care Compare)

10000 Falls of Neuse Rd
Raleigh, NC 27614-7838
Phone (919) 350-1300

126 Pritchard Rd
Clayton, NC 27527-9297
Phone (919) 235-1036

1260 N Arendell Ave
Zebulon, NC 27597-8730
Phone (919) 235-1965

12701 US 70 Business Hwy W
Clayton, NC 27520-2195
Phone (919) 350-0554

3900 Browning PL
Suite 101
Raleigh, NC 27609-6529
Phone (919) 781-9650

4530 Fayetteville Rd
Raleigh, NC 27603-3614
Phone (919) 350-0365

6800 Glenwood Ave
Raleigh, NC 27612-7133
Phone (919) 235-1939

815 Springfield Commons Dr
Raleigh, NC 27609-8529
Phone (919) 235-1400

938 N Brightleaf Blvd
Smithfield, NC 27577-4331
Phone (919) 235-1525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
104049NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians, LLC Physician Assistant Current Accepting new patients
Wake Specialty Physicians LLC CurrentSince Nov 3, 2025 Accepting new patients
Unc Physicians Network Group Practices, LLC CurrentSince Dec 14, 2021 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Nov 3, 2025 Accepting new patients
Laurel Mill Emergency Physicians Past Accepting new patients
Wake Specialty Physicians LLC Past Accepting new patients
North Carolina Em-I Medical Services PC Physician Assistant Past Accepting new patients
Wake Specialty Physicians LLC PastSince Nov 8, 2025 Accepting new patients
Boylan Medical Associates PLLC Past Accepting new patients
Carolina Coast Emergency Physicians LLC Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

237 S Estes Dr
Chapel Hill, NC 27514
Phone (919) 235-1520

12701 US Highway 70 Bus W
Clayton, NC 27520
Phone (919) 235-1968

126 Pritchard Rd
Clayton, NC 27527
Phone (919) 235-1036

7021 NC Highway 751
Durham, NC 27707
Phone (919) 235-0365

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

815 Springfield Commons Dr
Raleigh, NC 27609
Phone (919) 235-1400

4530 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 235-1930

6800 Glenwood Ave
Raleigh, NC 27612
Phone (919) 235-1939

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

938 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 235-1525

2001 S Main St
Wake Forest, NC 27587
Phone (919) 562-3155

1260 N Arendell Ave
Zebulon, NC 27597
Phone (919) 235-1326

Interoperability endpoints

  • Direct secure messaging: cvanooteghem600755@directhisp.wakemed.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1992709935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602195",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602195",
            "telephone_number": "919-350-0351",
            "fax_number": "919-350-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 FAYETTEVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033614",
            "telephone_number": "919-235-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Browning Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096529",
            "country_code": "US",
            "telephone_number": "919-781-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN OOTEGHEM",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104049",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "104049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "Q36915",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992709935",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.