Craig Daryl Carter Jr.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016006011 Issued in IL

Practice address

5310 N Sheridan Rd Ste 1
Chicago, IL 60640-2515

Phone

(773) 205-0106

NPI assigned

Apr 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aria Podiatry Care PLLCGroup PAC ID 2567822661, 53 clinicians

Illinois Mobile Foot Care LLCGroup PAC ID 9537672498, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: craig.carter.jr.1@18107.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Illinois Mobile Foot Care LLC

  • Podiatrist
  • Chicago, IL
  • NPI 1588455984
  Medicare reassignment Care Compare group NPD
• Aria Podiatry Care PLLC

  • Podiatrist
  • Middleburg, FL
  • NPI 1568160091

  IL

  Medicare reassignment Care Compare group NPD
• Excellent Medical Associates, P.C.

  • General Practice Physician
  • Orland Park, IL
  • NPI 1215223623
  Medicare reassignment NPD
• Alqaim Medical Associates Inc

  • General Practice Physician
  • Orland Park, IL
  • NPI 1932961240
  NPD
• Vital Health Associates PC

  • Internal Medicine Physician
  • Des Plaines, IL
  • NPI 1164313540
  NPD
• Vital Medical Associates PC

  • Primary Care Clinic/Center
  • Des Plaines, IL
  • NPI 1154186203
  NPD
• Vital Medical Associates PC

  • Urgent Care Clinic/Center
  • Des Plaines, IL
  • NPI 1417765975
  NPD
• Aria Dental Care PC

  • Dentist
  • Overland Park, KS
  • NPI 1942977632
  NPD (past)

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1508420779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 N SHERIDAN RD STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402515",
            "telephone_number": "773-205-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 N SHERIDAN RD STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402515",
            "telephone_number": "773-205-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CRAIG",
        "middle_name": "DARYL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016006011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breonni Carter
• Brian Carter
• Cambrye Carter, MD
• Carmen Carter
• Carrie Carter, DC
• Darian Shamiya Carter
• Deborah E. Carter, DT
• Donald L Carter, M.D.
• Emily Erin Carter, PSYD
• Eunita C Carter, LMT

• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.