Individual provider Active NPI

Phillip C Carr, M.D.

  • Obstetrics & Gynecology Physician
  • Hamilton, OH
National Provider Identifier
1063456747
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
047868 Issued in OH
Practice address
520 Eaton Ave Ste 200
Hamilton, OH 45013-2716
Phone
(513) 867-1200
Fax
(513) 867-1266
NPI assigned
Jun 15, 2006
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 047868 OH Primary

Addresses

Primary practice location

520 Eaton Ave Ste 200
Hamilton, OH 45013-2716

Mailing address

1 Prestige PL
Suite 550
Miamisburg, OH 45342-3794
Phone (937) 762-1305

Other practice location 1

3035 Hamilton Mason Rd Ste 201
Fairfield Township, OH 45011-5545
Phone (513) 867-1200

Other practice location 2

10 N Locust St Ste C
Oxford, OH 45056-1182
Phone (513) 867-1200

Other identifiers 1

IdentifierTypeStateIssuer
0631196MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pcarr166130@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100708000719 OH Practitioner - Obstetrics/Gynecology 9830220805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (937) 395-8646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
047868OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 29, 2022 Accepting new patients
Wilmington Physicians Group LLC Obstetrics & Gynecology CurrentSince Oct 31, 2020 Accepting new patients
The Fort Hamilton Hospital Past Accepting new patients
Butler County Community Health Consortium Inc Past Accepting new patients
Butler County Community Health Consortium Inc Past Accepting new patients
Beavercreek Medical Center Past Accepting new patients
Trihealth H LLC Past Accepting new patients

Locations

2449 Ross Millville Rd
Ste 252
Hamilton, OH 45013
Phone (513) 267-1200

520 Eaton Ave
Ste 200
Hamilton, OH 45013
Phone (513) 867-1200

840 NW Washington Blvd
Ste A
Hamilton, OH 45013
Phone (513) 867-4165

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

2241 Rombach Ave
Wilmington, OH 45177
Phone (937) 283-9910

596 W Main St
Wilmington, OH 45177
Phone (937) 283-2588

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
  • Direct secure messaging: phcarr@yourcarecommunity.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1063456747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL",
            "address_2": "SUITE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423794",
            "telephone_number": "937-762-1305",
            "fax_number": "937-522-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 EATON AVE STE 200",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132716",
            "telephone_number": "513-867-1200",
            "fax_number": "513-867-1266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3035 Hamilton Mason Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fairfield Township",
            "state": "OH",
            "postal_code": "450115545",
            "country_code": "US",
            "telephone_number": "513-867-1200",
            "fax_number": "513-867-1266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 N Locust St Ste C",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "OH",
            "postal_code": "450561182",
            "country_code": "US",
            "telephone_number": "513-867-1200",
            "fax_number": "513-867-1266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "PHILLIP",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "047868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0631196",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcarr166130@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "520 Eaton Ave Ste 200",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "520 Eaton Ave Ste 200",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.