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
- 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) |
---|---|---|---|---|
1 | 207KA0200X | Allopathic & Osteopathic Physicians | Allergy & Immunology | 0101256874 (VA) |
2 | 390200000X | Student, 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
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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. | |||||||||
1 | 5 | 7 | 8 | 9 | 0 | 2 | 5 | 6 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 14 | 8 | 18 | 0 | 4 | 5 | 12 | |
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 = 5 | 5 |
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 |
---|---|---|---|
1568777019 | DR. ZACHARY WAYNE ORMAN PHARMD Individual | Pharmacist | 319 WB MCLEAN DR CAPE CARTERET, NC 28584 (252) 393-3345 |
1083648117 | DENISE M GALLAGHER DO Individual | Family Medicine | 319 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 |
1366435828 | MS. LUANNE GARDNER SHEAFFER PA-C Individual | Physician Assistant | 319 WB MCLEAN DR CAPE CARTERET, NC 28584 (252) 424-0004 |
1851334700 | DR. FREDERICK REINDL M.D. Individual | Pediatrics | 319 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].
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