Individual provider Active NPI

Jerome O. Carter, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baytown, TX
National Provider Identifier
1689698961
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
L8298 Issued in TX
Practice address
720 Rollingbrook
Baytown, TX 77521
Phone
(281) 420-9355
Fax
(281) 420-9332
NPI assigned
Jul 27, 2006
Last updated
Aug 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X L8298 TX Primary

Addresses

Primary practice location

720 Rollingbrook
Baytown, TX 77521

Mailing address

720 Rollingbrook
Baytown, TX 77521
Phone (281) 420-9355

Other identifiers 2

IdentifierTypeStateIssuer
8W2350OtherTXBLUE CROSS BLUE SHIELD
L8298OtherTXMEDICAL LICENSE

Other names 1

  • Dr. Jerome O. Carter Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050330000638 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3476509605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16840 Buccaneer LN
Houston, TX 77058-2570
Phone (281) 991-2200

7111 Medical Ctr Dr
Suite 100
Texas City, TX 77591-2667
Phone (281) 991-2200

720 Rollingbrook Dr
Baytown, TX 77521-4059
Phone (281) 420-9355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baytown Surgery Center PLLC CurrentSince Aug 12, 2010 Accepting new patients
Interventional Pain Specialists, PLLC CurrentSince Feb 14, 2024 Accepting new patients
Interventional Pain Specialists, PLLC CurrentSince Feb 14, 2024 Accepting new patients
Baytown Surgery Center, PLLC Current Accepting new patients
Jerome O. Carter, MD, PLLC Pain Medicine CurrentSince Jun 1, 2006 Accepting new patients
2BD Enterprises LLC PastSince Jan 1, 2007 Accepting new patients
Compass Anesthesia Providers PLLC Past Accepting new patients
Step Up Foot & Ankle, PLLC Past Accepting new patients

Locations

720 Rollingbrook Dr
Baytown, TX 77521
Phone (281) 420-9355

16840 Buccaneer Ln
Ste 202
Houston, TX 77058

6243 Fairmont Pkwy
Ste 200
Pasadena, TX 77505
Phone (281) 241-6130

7111 Medical Center Dr
Ste 100
Texas City, TX 77591
Phone (832) 738-1836

Interoperability endpoints

  • Direct secure messaging: jerome.carter.1@13131.direct.athenahealth.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 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1689698961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ROLLINGBROOK",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "281-420-9355",
            "fax_number": "281-420-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ROLLINGBROOK",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "281-420-9355",
            "fax_number": "281-420-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JEROME",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "L8298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8W2350",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "L8298",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEROME",
            "last_name": "CARTER",
            "middle_name": "O.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.