Individual provider Active NPI

Kristin Carter, MD

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1326123043
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25265 Issued in AZ
Practice address
1615 N Swan Rd
Tucson, AZ 85712-4046
Phone
(520) 392-7600
Fax
(520) 777-7703
NPI assigned
Oct 25, 2006
Last updated
Feb 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25265 AZ Primary

Addresses

Primary practice location

1615 N Swan Rd
Tucson, AZ 85712-4046

Mailing address

1615 N Swan Rd
Tucson, AZ 85712-4046
Phone (520) 392-7600

Other identifiers 1

IdentifierTypeStateIssuer
382268MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080429000296 AZ Practitioner - Ophthalmology 8123106382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1615 N Swan Rd
Tucson, AZ 85712-4046
Phone (520) 392-7600

Merit-based Incentive Payment System (MIPS)

Final score
93.43 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery256

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25265AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mirabien, PLLC Ophthalmology CurrentSince Jun 26, 2011 Accepting new patients
Doctor S Group Inc Past Accepting new patients

Locations

1615 N Swan Rd
Tucson, AZ 85712
Phone (520) 392-7600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJDBA/Endpoint/HGJDBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1326123043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124046",
            "telephone_number": "520-392-7600",
            "fax_number": "520-777-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124046",
            "telephone_number": "520-392-7600",
            "fax_number": "520-777-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "25265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382268",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.