NPIMap

Individual provider Active NPI

Mitchell Carl, MD

  • Hematology & Oncology Physician
  • Corbin, KY
National Provider Identifier
1659377950
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
37722 Issued in KY
Practice address
1 Trillium Way
Ste 302
Corbin, KY 40701-8426
Phone
(606) 528-5000
Fax
(606) 528-5113
NPI assigned
Jun 22, 2005
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X CDR.0005430 CO
Hematology & Oncology Physician 207RH0003X 37722 KY Primary
Medical Oncology Physician 207RX0202X 3281413 ID

Addresses

Primary practice location

1 Trillium Way
Ste 302
Corbin, KY 40701-8426

Mailing address

520 Techwood Dr N Ste 100
Danville, KY 40422-8500
Phone (859) 936-9844

Other practice location 1

9403 Crown Crest Blvd Ste 15
Parker, CO 80138-8882
Phone (303) 269-4420

Other practice location 2

700 W Ironwood Dr Ste 130
Coeur D Alene, ID 83814-4404
Phone (208) 625-4700

Other identifiers 13

IdentifierTypeStateIssuer
830008709OtherKYRAILROAD MEDICARE
H61953OtherKYBLUEGRASS FAMILY HEALTH
023379600OtherKYFEDERAL BLACK LUNG
7525437OtherKYAETNA
P01079962OtherKYRR MEDICARE TROVER
000000290035OtherKYANTHEM BC/BS
64062292MedicaidKY
611277847OtherKYCIGNA
000000769615OtherKYBCBS TROVER
500000606OtherKYPASSPORT
611277847OtherKYCHA
87105OtherKYCOVENTRYCARES OF KENTUCKY
611277847COtherKYHUMANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, OR, NE, CO4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180507002650 WY Practitioner - Hematology/Oncology 9537127725
I20200707001004 OR Practitioner - Hematology/Oncology 9537127725 Reassigns benefits to 1 organization
I20220525001122 NE Practitioner - Hematology/Oncology 9537127725 Reassigns benefits to 1 organization
I20250903003011 CO Practitioner - Hematology/Oncology 9537127725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
State University of New York Downstate Medical Center, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

2610 Uhrmann Rd
Klamath Falls, OR 97601-1123
Phone (541) 274-6262

9403 Crown Crest Blvd
Parker, CO 80138-8882

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0005430COMDHematology & Oncology Physician
3281413IDMDMedical Oncology Physician
34016WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Hematology & Oncology CurrentSince Dec 9, 2024 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jun 30, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Jun 30, 2025 Accepting new patients
Commonwealth Hematology Oncology PSC Hematology & Oncology PastSince Jul 3, 2004 Accepting new patients
Ephraim McDowell Health Resource, Inc. Hematology & Oncology Past Accepting new patients
Sky Lakes Medical Center Inc Past Accepting new patients

Locations

2555 S Downing St
Ste 240
Denver, CO 80210
Phone (303) 715-7030

7750 S Broadway
Ste 100
Littleton, CO 80122
Phone (303) 347-9897

9403 Crown Crest Blvd
Ste 115
Parker, CO 80138
Phone (303) 269-4420

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Interoperability endpoints

  • Direct secure messaging: mcarl@epluscancercare.direct.varian.com

Organizations & group practices 8

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1659377950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 TECHWOOD DR N STE 100",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228500",
            "telephone_number": "859-936-9844",
            "fax_number": "859-238-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRILLIUM WAY",
            "address_2": "STE 302",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018426",
            "telephone_number": "606-528-5000",
            "fax_number": "606-528-5113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9403 Crown Crest Blvd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801388882",
            "country_code": "US",
            "telephone_number": "303-269-4420",
            "fax_number": "303-269-4439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Ironwood Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144404",
            "country_code": "US",
            "telephone_number": "208-625-4700",
            "fax_number": "208-625-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARL",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "CDR.0005430",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "37722",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "ID",
            "license": "3281413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830008709",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "H61953",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "023379600",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7525437",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE TROVER",
            "identifier": "P01079962",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000290035",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64062292",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "611277847",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TROVER",
            "identifier": "000000769615",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "500000606",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "611277847",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRYCARES OF KENTUCKY",
            "identifier": "87105",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "611277847C",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.