Individual provider Active NPI

Christopher Michael Carter, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bloomington, IN
National Provider Identifier
1639378250
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
01080360A Issued in IN
Practice address
601 W 2ND St RM 216
Bloomington, IN 47403
Phone
(812) 353-9533
NPI assigned
Jul 13, 2007
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X TRN11419 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME113183 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01080360A IN Primary
Pediatric Pathology Physician 207ZP0213X 35.127659 OH

Addresses

Primary practice location

601 W 2ND St RM 216
Bloomington, IN 47403

Mailing address

601 W 2ND St RM 216
Bloomington, IN 47403-2317
Phone (812) 353-9533

Other practice location 1

700 Childrens Dr
RMJ 0336
Columbus, OH 43205-2664
Phone (614) 722-5315

Other identifiers 1

IdentifierTypeStateIssuer
005944500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CCARTER15@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180525001623 IN Practitioner - Pathology 3971769225 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
West Virginia University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Indiana Pathology, PCGroup PAC ID 7618037805, 7 clinicians
Southern Indiana PathologistsGroup PAC ID 5395776231, 5 clinicians

Practice addresses (Care Compare)

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 418-0014

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 918-3336

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN11419FLMDAnatomic Pathology & Clinical Pathology Physician
01080360AINMDAnatomic Pathology & Clinical Pathology Physician
35.127659OHMDPediatric Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Southern Indiana Pathologists Anatomic Pathology & Clinical Pathology CurrentSince Jun 30, 2018 Accepting new patients
Indiana University Health Bloomington Inc Anatomic Pathology & Clinical Pathology CurrentSince Sep 22, 2018 Accepting new patients
Indiana University Health Bloomington Inc CurrentSince Sep 22, 2018 Accepting new patients

Locations

7987 Solution Ctr
Chicago, IL 60677

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

601 W 2nd St
Rm 216
Bloomington, IN 47403
Phone (812) 353-9533

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

714 N Senate Ave
Ste 130
Indianapolis, IN 46202
Phone (317) 963-5582

Interoperability endpoints

  • Direct secure messaging: ccarter15@direct.iuhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1639378250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST RM 216",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032317",
            "telephone_number": "812-353-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST RM 216",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47403",
            "telephone_number": "812-353-9533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_2": "RMJ 0336",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-5315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "TRN11419",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME113183",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01080360A",
            "primary": true
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "OH",
            "license": "35.127659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005944500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CCARTER15@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "601 W 2nd St Rm 216",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.