Active NPI
Christopher James Van Ooteghem, PA-C
- Medical Physician Assistant
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 104049
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q36915 | Other | NC | UPIN |
| 1992709935 | Medicaid | NC |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104049 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Specialty Physicians, LLC | Physician Assistant | Current | Accepting new patients |
| Wake Specialty Physicians LLC | Current | Accepting new patients | |
| Unc Physicians Network Group Practices, LLC | Current | Accepting new patients | |
| Wake Specialty Physicians LLC | Current | 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 | Past | 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
- 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.
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1275872905
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1790736973
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1023357761
-
- Pediatrics Physician
- Fuquay Varina, NC
- NPI 1578334892
-
- Family Medicine Physician
- Raleigh, NC
- NPI 1982288262
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1164408415
-
- Emergency Medicine Physician
- Clinton, NC
- NPI 1972610988
-
- Emergency Medicine Physician
- Louisburg, NC
- NPI 1255520243
-
- Physician Assistant
- Louisburg, NC
- NPI 1215118633
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
-
- Family Medicine Physician
- Morrisville, NC
- NPI 1174491138
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.