John Henry Carson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0437825 Issued in KS

Practice address

1010 N Kansas St
Wichita, KS 67214-3124

Phone

(316) 293-2665

NPI assigned

Jul 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coffeyville Regional Medical Center, Inc.Group PAC ID 9032108865, shared by 4 NPIs, 22 clinicians

Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coffeyville Regional Medical Center, Inc Hospital, Coffeyville, KS, CCN 171387
• Coffeyville Regional Medical Center, Inc Nursing home, CCN 17Z387

Merit-based Incentive Payment System (MIPS)

Final score

95.83 of 100Reported as group

Quality

81.24

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

77.82 of 100Reported as group

Quality

69.28

Promoting interoperability

100

Improvement activities

40

Cost

56.78

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Green Country Emergency Physicians Group of Tulsa PLLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1972698553

  KS

  Medicare reassignment Care Compare group NPD
• Coffeyville Regional Medical Center Inc

  • Anesthesiology Physician
  • Coffeyville, KS
  • NPI 1265550891
  Medicare reassignment NPD
• Coffeyville Regional Medical Center, Inc.

  • Critical Access Hospital
  • Coffeyville, KS
  • NPI 1285600379
  Medicare reassignment NPD
• Coffeyville Regional Medical Center, Inc

  • Family Medicine Physician
  • Coffeyville, KS
  • NPI 1407147903
  NPD

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

• Coffeyville Regional Medical Center, Inc.

  • Critical Access Hospital
  • Coffeyville, KS
  • NPI 1285600379
  Care Compare affiliation

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316292105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL-4469",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0437825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul H Carroll, MD
• Ashley Rochelle Carson, O.D.
• Brooke Randi Carson
• Caleb Lee Carson, BI
• Chelsea Carson
• Lindsey Lee Carson, PA-C
• Megan Dawn Carson, OT
• Sylvia A Carson, ARNP
• Catherine Elizabeth Carter-Gibbons, LMSW
• Jayden Carter

• Internal Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.