Individual provider Active NPI

John Robertson Carr, MD

  • Internal Medicine Physician
  • Rolla, MO
National Provider Identifier
1154816858
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2021028418 Issued in MO
Practice address
1000 W 10TH St
Rolla, MO 65401-2905
Phone
(573) 458-8899
NPI assigned
Jun 25, 2018
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2018022261 MO
Internal Medicine Physician 207R00000X 2021028418 MO Primary

Addresses

Primary practice location

1000 W 10TH St
Rolla, MO 65401-2905

Mailing address

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899

Other practice location 1

1333 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-3311

Other practice location 2

1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435

Other practice location 3

600 Blues Lake Pkwy
Rolla, MO 65401-8022
Phone (573) 364-8822

Other practice location 4

1000 Gw Ln
Waynesville, MO 65583-2339
Phone (573) 774-2715

Other practice location 5

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210805001683 MO Practitioner - Internal Medicine 5698027837 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pcrmc Medical Group IncGroup PAC ID 1557454063, 113 clinicians
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians
Texas County Memorial HospitalGroup PAC ID 9436041696, shared by 15 NPIs, 30 clinicians
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians

Practice addresses (Care Compare)

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899

1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036

1333 S Sam Houston Blvd
Houston, MO 65483-2046

1333 S Sam Houston Blvd a
TCMH Outpatient Clinic
Houston, MO 65483-2046
Phone (417) 967-1252

1335 S Sam Houston Blvd
Houston, MO 65483-2046

1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435

139 W Hwy 32
Licking, MO 65542-9898
Phone (573) 674-3011

2885 Technology Dr
Lake St Louis, MO 63367-4123
Phone (337) 991-9276

400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018022261MOMDInternal Medicine Physician
2021028418MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pcrmc Medical Group, Inc Internal Medicine CurrentSince Jul 27, 2021 Accepting new patients
Cole Physician Services LLC CurrentSince May 29, 2022 Accepting new patients
CH Specialty Services Mo LLC Internal Medicine CurrentSince Sep 23, 2025 Accepting new patients
Texas County Memorial Hospital CurrentSince Apr 17, 2023 Accepting new patients
Ozarks Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Sep 23, 2025 Accepting new patients
Texas County Memorial Hospital CurrentSince Apr 17, 2023 Accepting new patients
Phelps County Regional Medical Center CurrentSince Jul 27, 2021 Accepting new patients
Texas County Memorial Hospital CurrentSince Apr 17, 2023 Accepting new patients
Texas County Memorial Hospital CurrentSince Apr 17, 2023 Accepting new patients
Ozarks Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Phelps County Regional Medical Center CurrentSince Apr 10, 2024 Accepting new patients
Ies HSP Missouri LLC CurrentSince Feb 2, 2026 Accepting new patients
Texas County Memorial Hospital Past Accepting new patients

Locations

403 W Main St
Cole Camp, MO 65325
Phone (660) 668-4515

1 Hospital Dr
#423
Columbia, MO 65212
Phone (573) 882-7901

10 S Hospital Dr
Fulton, MO 65251
Phone (573) 592-6550

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252

1337 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-5435

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

2885 Technology Dr
Lake St Louis, MO 63367
Phone (314) 259-1044

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

139 W Highway 32
Licking, MO 65542
Phone (573) 674-3011

620 E Monroe St
Mexico, MO 65265
Phone (573) 582-5000

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

600 Blues Lake Pkwy
Rolla, MO 65401
Phone (573) 364-5719

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

1630 E Primrose St
Springfield, MO 65804
Phone (417) 885-4700

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

1000 Gw Ln
Waynesville, MO 65583
Phone (573) 774-2715

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Interoperability endpoints

  • Direct secure messaging: jcarr427915@direct-ehr-ssmhc.com

Organizations & group practices 14

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 14

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1154816858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-458-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-458-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 S Sam Houston Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MO",
            "postal_code": "654832046",
            "country_code": "US",
            "telephone_number": "417-967-3311",
            "fax_number": "417-967-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1337 S Sam Houston Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MO",
            "postal_code": "654832046",
            "country_code": "US",
            "telephone_number": "417-967-5435",
            "fax_number": "417-967-5503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Blues Lake Pkwy",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654018022",
            "country_code": "US",
            "telephone_number": "573-364-8822",
            "fax_number": "573-202-2402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Gw Ln",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "655832339",
            "country_code": "US",
            "telephone_number": "573-774-2715",
            "fax_number": "573-202-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "JOHN",
        "middle_name": "ROBERTSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2018022261",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2021028418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.