Active NPI
John Robertson Carr, MD
- Internal Medicine Physician
- Rolla, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2021028418
- Practice address
- 1000 W 10TH St
Rolla, MO 65401-2905 - Phone
- (573) 458-8899
- NPI assigned
- Jun 25, 2018
- Last updated
- Jul 31, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Texas County Memorial Hospital
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018022261 | MO | MD | Internal Medicine Physician |
| 2021028418 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pcrmc Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Cole Physician Services LLC | Current | Accepting new patients | |
| CH Specialty Services Mo LLC | Internal Medicine | Current | Accepting new patients |
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Ozarks Medical Center | Current | Accepting new patients | |
| Curana Health of Missouri-Kansas LLC | Current | Accepting new patients | |
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Ozarks Medical Center | Current | Accepting new patients | |
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| Ies HSP Missouri LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Lee's Summit, MO
- NPI 1194422253
-
dba Elite Patient Care
- Family Medicine Physician
- Lee's Summit, MO
- NPI 1306165337
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
dba Phelps Health Medical Group Rolla
- Clinic/Center
- Rolla, MO
- NPI 1124237227
Internal Medicine
-
dba Phelps Health
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
- Hospitalist Physician
- Jefferson City, MO
- NPI 1144578659
-
- Hospitalist Physician
- West Plains, MO
- NPI 1962102871
-
dba TCMH Family Clinic - Licking
- Primary Care Clinic/Center
- Licking, MO
- NPI 1235178930
-
dba TCMH Internal Medicine Associates
- Multi-Specialty Clinic/Center
- Houston, MO
- NPI 1306885587
-
- General Acute Care Hospital
- Houston, MO
- NPI 1790740363
-
- Psychiatric Hospital Unit
- West Plains, MO
- NPI 1235929027
-
dba Phelps Health Medical Group
- Rural Health Clinic/Center
- Rolla, MO
- NPI 1366066037
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
dba Heartland Hospice (St. Louis)
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1437858941
-
- General Acute Care Hospital
- Lebanon, MO
- NPI 1447284898
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1740413988
-
dba Phelps Health Medical Group
- Rural Health Clinic/Center
- Salem, MO
- NPI 1194077701
Hospital
-
dba Phelps Health
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
-
dba Phelps Health
- Skilled Nursing Facility
- Rolla, MO
- NPI 1578559076
Nursing home
-
dba Phelps Health
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
- Medicare Defined Swing Bed Hospital Unit
- Salem, MO
- NPI 1134199417
-
- Critical Access Hospital
- Salem, MO
- NPI 1639177561
-
- Medicare Defined Swing Bed Hospital Unit
- Houston, MO
- NPI 1023179298
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.