Kevin R Carter, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

5101015589 Issued in MI

Practice address

50 N Perry St
Pontiac, MI 48342-2217

Phone

(248) 338-5604

NPI assigned

Jan 15, 2007

Last updated

Oct 24, 2019By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Diagnostic Radiology

Education

Michigan State University College of Osteopathic Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Omg 1PCGroup PAC ID 4183536238, 20 clinicians

Thumb Radiology PCGroup PAC ID 8527587385, 4 clinicians

North Oakland North Macomb Imaging IncGroup PAC ID 3476526963, 3 clinicians

McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Oakland Hospital, Pontiac, MI, CCN 230207
• McLaren Thumb Region Hospital, Bad Axe, MI, CCN 231340
• McLaren Caro Region Hospital, Caro, MI, CCN 231329
• Hills & Dales General Hospital Hospital, Cass City, MI, CCN 231316
• McLaren Bay Region Hospital, Bay City, MI, CCN 230041

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• McLaren Hospital Group

  • Emergency Medicine Physician
  • Flint, MI
  • NPI 1942026174

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• McLaren Medical Group

  • Family Medicine Physician
  • Lapeer, MI
  • NPI 1346396066
  Medicare reassignment Care Compare group NPD
• North Oakland North Macomb Imaging

  dba Michigan Resonance Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Auburn Hills, MI
  • NPI 1407842586
  Medicare reassignment Care Compare group NPD
• Omg 1 PC

  dba Oakland Imaging Diagnostic Center

  • Diagnostic Radiology Physician
  • Warren, MI
  • NPI 1891737466
  Medicare reassignment Care Compare group NPD
• Thumb Radiology PC

  • Diagnostic Radiology Physician
  • Marlette, MI
  • NPI 1235937913
  Medicare reassignment Care Compare group NPD
• McLaren Central Michigan

  • General Acute Care Hospital
  • Mt Pleasant, MI
  • NPI 1245266063
  Medicare reassignment NPD
• McLaren Flint

  • General Practice Physician
  • Flint, MI
  • NPI 1275807372

  Diagnostic Radiology

  Medicare reassignment NPD
• Southfield Rehabilitation Company

  dba Surgeons Choice Medical Center

  • General Acute Care Hospital
  • Southfield, MI
  • NPI 1790785095

  Diagnostic Radiology

  Medicare reassignment NPD
• McLaren Bay Region

  • Family Medicine Physician
  • Bay City, MI
  • NPI 1508131087
  Medicare reassignment
• Kellam & Associates, P. C.

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1366472029
  NPD
• McLaren Central Michigan

  • Family Medicine Physician
  • Mt Pleasant, MI
  • NPI 1710235775
  NPD
• McLaren Central Michigan

  • Rural Health Clinic/Center
  • Gladwin, MI
  • NPI 1841812989
  NPD

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

• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001
  Care Compare affiliation
• Hills & Dales General Hospital, Inc.

  dba Aspire Hill Street Clinic

  • Psychiatry Physician
  • Cass City, MI
  • NPI 1952120859

  Hospital

  Care Compare affiliation
• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  Care Compare affiliation
• McLaren Caro Region

  • Critical Access Hospital
  • Caro, MI
  • NPI 1073568978
  Care Compare affiliation
• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  Care Compare affiliation
• McLaren Thumb Region

  dba Huron Medical Center

  • Critical Access Hospital
  • Bad Axe, MI
  • NPI 1518991744
  Care Compare affiliation

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1659422749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-499-6191",
            "fax_number": "562-499-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Schaefer Rd.",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481263698",
            "country_code": "US",
            "telephone_number": "313-581-2600",
            "fax_number": "313-581-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KEVIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101015589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659422749",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00737290",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP PIN / PALMETO GBA",
            "identifier": "CA3518",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI GROUP",
            "identifier": "300F361250",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eryn Carter
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• Catholic Social Services of Oakland County
• Judith Renee Caudill, 4704222736 RN

• Diagnostic Radiology Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.