Active NPI
Michael R Carr, M.D.
- Pediatric Cardiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 036130481
- Practice address
- 225 East Chicago Avenue
Box 21 Lurie Children'S Hospital,
Chicago, IL 60611 - Phone
- (312) 227-4100
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 0101102544 | VA | |
| Pediatric Cardiology Physician | 2080P0202X | 036130481 | IL | Primary |
Addresses
Primary practice location
225 East Chicago Avenue
Box 21 Lurie Children'S Hospital,
Chicago, IL 60611
Mailing address
225 East Chicago Avenue
Box 21 Lurie Children'S Hospital,
Chicago, IL 60611
Phone (312) 227-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1131 Techny Rd
Northbrook, IL 60062-5503
Phone (800) 543-7362
1895 Arbor Glen Blvd
Schaumburg, IL 60195-3114
Phone (312) 227-8249
225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-6415
3722 Touhy Ave
Skokie, IL 60076-3941
Phone (800) 543-7362
Hospital & facility affiliations
- Ann & Robert H Lurie Childrens Hospital of Chicago
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036130481 | IL | MD | Pediatric Cardiology Physician |
| 0101102544 | VA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Children'S Medical Group Inc | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Claims Remittance
Carol Stream, IL 60122
225 E Chicago Ave
#21
Chicago, IL 60611
Phone (312) 227-2200
225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415
225 E Chicago Ave
#118
Chicago, IL 60611
737 N Michigan Ave
Ste 2040
Chicago, IL 60611
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1518064716
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Northbrook, IL
- NPI 1013493824
Hospital
-
- Children's Hospital
- Chicago, IL
- NPI 1235234535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1285770925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 EAST CHICAGO AVENUE",
"address_2": "BOX 21 LURIE CHILDREN'S HOSPITAL,",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-227-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 EAST CHICAGO AVENUE",
"address_2": "BOX 21 LURIE CHILDREN'S HOSPITAL,",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-227-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "MICHAEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "VA",
"license": "0101102544",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "IL",
"license": "036130481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.