Individual provider Active NPI

Irene A Carrothers, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1003041831
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01079803A Issued in IN
Practice address
1701 Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 963-8776
Fax
(317) 963-5285
NPI assigned
May 22, 2009
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P3516 TX
Internal Medicine Physician 207R00000X CP128 NE
Internal Medicine Physician 207R00000X 01079803A IN Primary
Internal Medicine Physician 207R00000X 2023028096 MO

Addresses

Primary practice location

1701 Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488

Other practice location 2

3035 Seattle Slew Dr
Celina, TX 75009-1340
Phone (000) 000-0000

Other practice location 3

1819 S National Ave
Springfield, MO 65804-2217
Phone (417) 269-9220

Other practice location 4

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950

Other practice location 5

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

Other practice location 6

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6620

Other practice location 7

29 NW 1st Ln
LaMar, MO 64759-8105
Phone (000) 000-0000

Other identifiers 3

IdentifierTypeStateIssuer
200124422MedicaidMO
3052300-01MedicaidTX
305230008MedicaidTX

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address icarrothers@direct.iuhealth.org Direct
Direct Messaging Address icarrothers512755@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC, NE, WY, MO5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20120921000667 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 0547418238 Reassigns benefits to 6 organizations
I20220506000368 SC Practitioner - Internal Medicine 0547418238 Reassigns benefits to 3 organizations
I20230531000270 NE Practitioner - Internal Medicine 0547418238 Reassigns benefits to 4 organizations
I20231205001956 WY Practitioner - Internal Medicine 0547418238 Reassigns benefits to 2 organizations
I20250528002317 MO Practitioner - Internal Medicine 0547418238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar County Memorial HospitalGroup PAC ID 7315841129, shared by 5 NPIs, 20 clinicians
Box Butte General HospitalGroup PAC ID 9638089584, shared by 7 NPIs, 60 clinicians
Cox-Monett Hospital IncGroup PAC ID 0345236667, 69 clinicians
West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians
Teledigm Physician Services LLCGroup PAC ID 6002130283, 15 clinicians

Practice addresses (Care Compare)

1401 S Park St
El Dorado, MO 64744-2037
Phone (417) 876-2511

2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (308) 762-6660

3035 Seattle Slew Dr
Celina, TX 75009-1340
Phone (417) 235-3144

424 Yellowstone Ave
Suite 120
Cody, WY 82414-9311
Phone (307) 578-2903

5733 S 34TH St
Suite 500
Lincoln, NE 68516-6632
Phone (531) 350-6982

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2023028096MOMDInternal Medicine Physician
CP128NEMDInternal Medicine Physician
P3516TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Aug 14, 2012 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Cedar County Memorial Hospital CurrentSince Apr 30, 2025 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Jan 27, 2021 Accepting new patients
Box Butte General Hospital Current Accepting new patients
Cody Regional Health EMS CurrentSince Oct 30, 2023 Accepting new patients
Madonna Rehabilitation Hospital CurrentSince Apr 15, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 14, 2012 Accepting new patients
Century Integrated Partners, Inc CurrentSince Jan 1, 2016 Accepting new patients
Teledigm Physician Services, LLC CurrentSince May 16, 2023 Accepting new patients
West Park Hospital District CurrentSince Oct 30, 2023 Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Cedar County Memorial Hospital Internal Medicine CurrentSince Apr 30, 2025 Accepting new patients
Pelham Medical Center Current Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Cedar County Memorial Hospital CurrentSince May 2, 2025 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 27, 2021 Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2026 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Mar 1, 2023 Accepting new patients
Spartanburg Medical Center Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Spartanburg Medical Center CurrentSince May 1, 2022 Accepting new patients
West Park Hospital District CurrentSince Oct 30, 2023 Accepting new patients
Pelham Medical Center CurrentSince May 1, 2022 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Alliance Family Medicine LLC Past Accepting new patients
Grand Island Regional Medical Center Past Accepting new patients
Cedar County Memorial Hospital Past Accepting new patients
Medtruly Health LLC Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

1401 S Park St
El Dorado Springs, MO 64744
Phone (417) 876-2511

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

2222 S 16th St
Ste 401A
Lincoln, NE 68502
Phone (402) 483-8744

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

5733 S 34th St
Ste 500
Lincoln, NE 68516
Phone (531) 350-6970

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

3500 Gaston Ave
Dallas, TX 75246

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

5002 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 614-3008

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

424 Yellowstone Ave
Ste 220A
Cody, WY 82414
Phone (307) 578-2287

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Interoperability endpoints

  • FHIR API: https://epicproxy.et1031.epichosted.com/FHIRProxy/BHS/api/FHIR/R4
  • Direct secure messaging: icarrothers512755@direct.parkviewexchange.com
  • Direct secure messaging: icarrothers81720@directmcleodehealth.org

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 4

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": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1003041831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-963-8776",
            "fax_number": "317-963-5285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-1488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3035 Seattle Slew Dr",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "TX",
            "postal_code": "750091340",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042217",
            "country_code": "US",
            "telephone_number": "417-269-9220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5252 W University Dr",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750717822",
            "country_code": "US",
            "telephone_number": "469-764-6950",
            "fax_number": "469-694-6954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075210",
            "country_code": "US",
            "telephone_number": "417-269-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11109 Parkview Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451701",
            "country_code": "US",
            "telephone_number": "260-672-6620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 NW 1st Ln",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "MO",
            "postal_code": "647598105",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROTHERS",
        "first_name": "IRENE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3516",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "CP128",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01079803A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2023028096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124422",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3052300-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305230008",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "icarrothers@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "icarrothers512755@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11109 Parkview Plaza Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11109 Parkview Plaza Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11109 Parkview Plaza Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.