Individual provider Active NPI

Kevin Lamar Carr, M.D.

  • Internal Medicine Physician
  • Cheshire, CT
National Provider Identifier
1366556292
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79703 Issued in CT
Practice address
335 Highland Ave
Cheshire, CT 06410-2594
Phone
(203) 271-3063
Fax
(203) 272-1365
NPI assigned
Aug 18, 2006
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 79703 CT Primary
Internal Medicine Physician 207R00000X D0066548 MD
Internal Medicine Physician 207R00000X MD436406 PA
Internal Medicine Physician 207R00000X 35-086618 OH
Hospitalist Physician 208M00000X MD436406 PA

Addresses

Primary practice location

335 Highland Ave
Cheshire, CT 06410-2594

Mailing address

1290 Silas Deane Hwy
HHC-Cvo
Wethersfield, CT 06109-4337
Phone (860) 972-5507

Other practice location 1

2800 Main Street
Level 1M
Bridgeport, CT 06606-4201
Phone (475) 210-5718

Other identifiers 8

IdentifierTypeStateIssuer
264685OtherPAUNISON-WMG
2093119OtherPAHIGHMARK BLUE SHIELD
30131963OtherPAAMERIHEALTH MERCY - WMG
933025OtherMDCAREFIRST MD BCBS
1580126OtherPAGATEWAY-WMG
20085401OtherPAAMERIHEALTH MERCY-WMG
102274965MedicaidPA
2629472MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080919000097 MD Practitioner - HospitalistPractitioner - Internal Medicine 9638131923 Reassigns benefits to 3 organizations
I20250820001056 CT Practitioner - Internal Medicine 9638131923 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

335 Highland Ave
Cheshire, CT 06410-2549
Phone (203) 271-3063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79703CTMDInternal Medicine Physician
D0066548MDMDInternal Medicine Physician
35-086618OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Aug 15, 2025 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2024 Accepting new patients
Midstate Medical Center Current Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 15, 2025 Accepting new patients
Mdics at Meritus Medical Center, LLC Hospitalist CurrentSince Jun 1, 2018 Accepting new patients
Midstate Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Midstate Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Mdics at Anne Arundel LLC Hospitalist CurrentSince Nov 15, 2018 Accepting new patients
Prohealth Physicians PC Internal Medicine CurrentSince Jun 1, 2026 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Oct 1, 2025 Accepting new patients
Imperial Health LLP Past Accepting new patients
Carroll Hospital Center, Inc. Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

2800 Main St
#1M
Bridgeport, CT 06606
Phone (475) 210-5718

335 Highland Ave
Cheshire, CT 06410
Phone (203) 271-3063

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

904 Commerce Rd
Annapolis, MD 21401
Phone (410) 849-6140

219 S Washington St
Easton, MD 21601

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

701 Charles St
La Plata, MD 20646
Phone (301) 609-4000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1366556292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HHC-CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-5507",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 HIGHLAND AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102594",
            "telephone_number": "203-271-3063",
            "fax_number": "203-272-1365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Main Street",
            "address_2": "Level 1M",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066064201",
            "country_code": "US",
            "telephone_number": "475-210-5718",
            "fax_number": "475-210-5263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "KEVIN",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "79703",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066548",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD436406",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-086618",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD436406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG",
            "identifier": "264685",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2093119",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY - WMG",
            "identifier": "30131963",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "933025",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "1580126",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-WMG",
            "identifier": "20085401",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102274965",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2629472",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.