ROBERT HENRI WAUTERS M.D.
NPI 1578902565
Allergy & Immunology in Cape Carteret, NC

NPI Status: Active since June 23, 2013

Contact Information

319 WB MCLEAN DR
CAPE CARTERET, NC
ZIP 28584
Phone: (252) 424-0004
Fax: (252) 764-0019

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 13
  • Allergy & Immunology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ROBERT WAUTERS

This page provides the complete NPI Profile along with additional information for Robert Wauters, a provider established in Cape Carteret, North Carolina with a medical specialization in Allergy & Immunology and more than 13 years of experience. He graduated from Rutgers New Jersey Medical School in 2013. The healthcare provider is registered in the NPI registry with number 1578902565 assigned on June 2013. The practitioner's primary taxonomy code is 207K00000X with license number 2022-00411 (NC). The provider is registered as an individual and his NPI record was last updated 2 years ago. Robert Wauters operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI
1578902565
Provider Name
ROBERT HENRI WAUTERS M.D.
Gender
Male
Entity Type
Individual
Location Address
319 WB MCLEAN DR CAPE CARTERET, NC 28584
Location Phone
(252) 424-0004
Location Fax
(252) 764-0019
Mailing Address
PO BOX 986513 DEPT 100 BOSTON, MA 02298
Mailing Phone
(910) 219-8326
Mailing Fax
(252) 764-0019
Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year
2013
Is Sole Proprietor?
Yes
Enumeration Date
06-23-2013
Last Update Date
11-06-2023
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Allergy & Immunology

Taxonomy Code
207K00000X
Type
Allopathic & Osteopathic Physicians
License No.
2022-00411
License State
NC
Taxonomy Description
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207KA0200XAllopathic & Osteopathic Physicians

Allergy & Immunology
Allergy

0101256874 (VA)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO
  • WellCare Secure Health Bronze - PPO
  • WellCare Secure Health Gold - PPO
  • WellCare Secure Health Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Robert Wauters is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Robert Wauters is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8426308644

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240403000271

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for ROBERT HENRI WAUTERS M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578902565
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251481804512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 8 + 0 + 4 + 5 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1578902565 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568777019DR. ZACHARY WAYNE ORMAN PHARMD
Individual
Pharmacist319 WB MCLEAN DR
CAPE CARTERET, NC 28584
(252) 393-3345
1083648117 DENISE M GALLAGHER DO
Individual
Family Medicine319 WB MCLEAN DR
CAPE CARTERET, NC 28584
(252) 424-0004
1205344389 STORMY SUZANNE GILBERT FNP
Individual
Nurse Practitioner (Family)319 WB MCLEAN DR
CAPE CARTERET, NC 28584
(252) 424-0004
1366435828MS. LUANNE GARDNER SHEAFFER PA-C
Individual
Physician Assistant319 WB MCLEAN DR
CAPE CARTERET, NC 28584
(252) 424-0004
1851334700DR. FREDERICK REINDL M.D.
Individual
Pediatrics319 WB MCLEAN DR
CAPE CARTERET, NC 28584
(252) 424-0004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578902565, enumerated in the NPI registry as an "individual" on June 23, 2013

The provider is located at 319 Wb Mclean Dr Cape Carteret, Nc 28584 and the phone number is (252) 424-0004

The provider's speciality is Allergy & Immunology with taxonomy code 207K00000X

The provider has more than 13 years of experience. He graduated from Rutgers New Jersey Medical School in 2013.

The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare and WellCare of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on June 23, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.