Stephen L Carter, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036-113222 Issued in IL

Practice address

2148 N Damen Ave
Chicago, IL 60647-4562

Phone

(773) 938-8128

Fax

(773) 938-8126

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Dermatology

Education

University of Tennessee, HSC, College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Skin Surgery and DermatologyGroup PAC ID 0941391338, 55 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.25 of 100Reported as group

Promoting interoperability

85

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• IL HMO C-SNP
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

• Direct secure messaging: stephen.carter@qdp.emadirect.md

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.

• Cumberland Skin Surgery and Dermatology

  • Medical Specialty Clinic/Center
  • Lebanon, TN
  • NPI 1922138247
  Medicare reassignment Care Compare group NPD
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  TN

  Medicare reassignment
• Des Plaines Dermatology, LTD.

  • Dermatology Physician
  • Des Plaines, IL
  • NPI 1902127194
  NPD (past)
• Academic Dermatology,PC

  • Specialist
  • Edina, MN
  • NPI 1164662730
  NPD (past)
• Advanced Sleep Consultants of Middle TN, Inc

  • Medical Specialty Clinic/Center
  • Lebanon, TN
  • NPI 1912048307
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1013909134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474562",
            "telephone_number": "773-938-8128",
            "fax_number": "773-983-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474562",
            "telephone_number": "773-938-8128",
            "fax_number": "773-938-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-113222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00232723",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamara Carter
• Sherman Martin Carter, PHD
• Sonya L Carter, PHARMD
• Sophia Kiana Carter, PHD, LPC
• Stacey Carter, FNP
• Talia Carter
• Tasha Carter, LPN
• Toni Carter
• Shanita L Cartharn, RN
• Carthart Pharmacy

• Dermatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.

Verify at the official NPI Registry.