Active NPI
Christopher Michael Carter, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 01080360A
- Practice address
- 601 W 2ND St RM 216
Bloomington, IN 47403 - Phone
- (812) 353-9533
- NPI assigned
- Jul 13, 2007
- Last updated
- Dec 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005944500 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| TRN11419 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 01080360A | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
| 35.127659 | OH | MD | Pediatric Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Southern Indiana Pathologists | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Indiana University Health Bloomington Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Indiana University Health Bloomington Inc | Current | 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
- 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Bloomington, IN
- NPI 1447235619
-
- Anatomic Pathology & Clinical Pathology Physician
- Columbus, IN
- NPI 1194813154
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Psychiatry Physician
- Bloomington, IN
- NPI 1871519074
Anatomic Pathology & Clinical Pathology
-
dba IU Health Bloomington Retail Pharmacy
- Community/Retail Pharmacy
- Bloomington, IN
- NPI 1922640077
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
-
dba Center for Therapy and Sports Performance
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
dba Iu Health Bloomington
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.