Active NPI
Kimberly Yudi Carter, MD
- Family Medicine Physician
- White Plains, NY
National Provider Identifier
1144205923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 223823
- Practice address
- 210 Westchester Ave
White Plains, NY 10604-2901 - Phone
- (914) 681-3100
- Fax
- (914) 682-6403
- NPI assigned
- Dec 14, 2005
- Last updated
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23800126 | CA | |
| Family Medicine Physician | 207Q00000X | 223823 | NY | Primary |
Addresses
Primary practice location
210 Westchester Ave
White Plains, NY 10604-2901
Mailing address
210 Westchester Ave
3Rd Floor
White Plains, NY 10604-2901
Phone (914) 681-3146
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133884168 | Other | NY | EMPIRE STATE PLAN (NYS) |
| 133884168 | Other | NY | MULTIPLAN |
| 7906913 | Other | NY | CIGNA |
| 133884168 | Other | NY | BEECH STREET |
| 133884168 | Other | NY | HORIZON HEALTHCAE OF NY |
| 223823 | Other | NY | HIP |
| 223823-6I CFP | Other | NY | WORKERS COMPENSATION |
| 4C8735 | Other | NY | HEALTH NET |
| 5475D1 | Other | NY | BLUE CROSS |
| 7370392 | Other | NY | AETNA HMO |
| 000000086976 | Other | NY | GHI HMO |
| 0899994 | Other | NY | GHI PPO |
| 133884168 | Other | NY | PHCS |
| 2299924 | Other | NY | UNITED HEALTH CARE |
| P3181688 | Other | NY | OXFORD |
| 133884168 | Other | NY | POMCO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040702001260 | NY | Practitioner - Family Practice | 0244217594 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4539 | AK | MD | Addiction (Substance Use Disorder) Counselor |
| 23800126 | CA | MD | Family Medicine Physician |
| 223823 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| The New York and Presbyterian Hospital | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- kcarter@hiemail.healtheconnections.org
Organizations & group practices 2
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.
-
dba New-York-Presbyterian Pharmacy
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
-
dba Ambulatory Care Network
- Nutritionist
- New York, NY
- NPI 1891857025
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1144205923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WESTCHESTER AVE",
"address_2": "3RD FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106042901",
"telephone_number": "914-681-3146",
"fax_number": "914-682-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WESTCHESTER AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106042901",
"telephone_number": "914-681-3100",
"fax_number": "914-682-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "KIMBERLY",
"middle_name": "YUDI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "23800126",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "223823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE STATE PLAN (NYS)",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7906913",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTHCAE OF NY",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "223823",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "223823-6I CFP",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "4C8735",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5475D1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "7370392",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000086976",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "0899994",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2299924",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3181688",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO",
"identifier": "133884168",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.