Individual provider Active NPI

Eric J. Carr, M.D.

  • Internal Medicine Physician
  • Owings Mills, MD
National Provider Identifier
1093737447
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0053095 Issued in MD
Practice address
9 Park Center CT Ste 200
Owings Mills, MD 21117-5623
Phone
(443) 471-0775
Fax
(410) 683-3121
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0053095 MD Primary

Addresses

Primary practice location

9 Park Center CT Ste 200
Owings Mills, MD 21117-5623

Mailing address

PO Box 418953
Boston, MA 02241-8953

Other identifiers 1

IdentifierTypeStateIssuer
457701900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20061003000477 MD Practitioner - Internal Medicine 7911902556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partnermd Maryland PCGroup PAC ID 0547492100, 3 clinicians

Practice addresses (Care Compare)

9 Park Ctr CT
Suite 200
Owings Mills, MD 21117-5623
Phone (804) 282-2655

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053095MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partnermd Maryland PC Internal Medicine CurrentSince May 13, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients
Maryland Family Care, Inc. Internal Medicine Past Accepting new patients

Locations

9 Park Center Ct
Ste 200
Owings Mills, MD 21117
Phone (410) 630-1402

Interoperability endpoints

  • Direct secure messaging: eric.carr.1@2180.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1093737447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418953",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PARK CENTER CT STE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175623",
            "telephone_number": "443-471-0775",
            "fax_number": "410-683-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "ERIC",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0053095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "457701900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.