Active NPI
Michael J Carl, MD
- Physical Medicine & Rehabilitation Physician
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 01087520A
- Practice address
- 107 S Washington St Ste C
Kokomo, IN 46901-4601 - Phone
- (765) 450-6735
- NPI assigned
- Feb 2, 2006
- Last updated
- Nov 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 01087520A | IN | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 19307 | OK |
Addresses
Primary practice location
107 S Washington St Ste C
Kokomo, IN 46901-4601
Mailing address
PO Box 5748
Lafayette, IN 47903-5748
Phone (765) 714-4344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 68.67 of 100
- Quality
- 90
- Improvement activities
- 0
- Cost
- 81.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01087520A | IN | MD | Physical Medicine & Rehabilitation Physician |
| 19307 | OK | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Pain Care, P.C. | Current | Accepting new patients | |
| Lafayette Pain Care PC | Current | Accepting new patients | |
| Coastal Orthopedics & Sports Medicine,P.a. | Past | Accepting new patients |
Locations
107 S Washington St
Ste C
Kokomo, IN 46901
Phone (317) 798-0040
770 Park East Blvd
Ste B
Lafayette, IN 47905
Phone (765) 366-4344
707 N River Dr
Marion, IN 46952
Phone (765) 573-5999
613 Terrace Dr
Winamac, IN 46996
Phone (574) 946-4290
Interoperability endpoints
- mcarl66146@direct.thedacare.org
Organizations & group practices 3
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.
-
- Pain Medicine Physician
- Lafayette, IN
- NPI 1205189594
-
- Interventional Pain Medicine Physician
- Logansport, IN
- NPI 1548970478
-
- Physical Therapist
- Brunswick, ME
- NPI 1952485765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1700858057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5748",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479035748",
"telephone_number": "765-714-4344",
"fax_number": "405-735-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S WASHINGTON ST STE C",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469014601",
"telephone_number": "765-450-6735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARL",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "01087520A",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OK",
"license": "19307",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.