Individual provider Active NPI

Donald L Carter, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1700966546
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Practice address
60 E Delaware PL
15TH FL
Chicago, IL 60611-1495
Phone
(312) 440-5150
Fax
(312) 440-5151
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X IL Primary

Addresses

Primary practice location

60 E Delaware PL
15TH FL
Chicago, IL 60611-1495

Mailing address

LBX 809274 PO Box 809274
Chicago, IL 60680-9274
Phone (773) 445-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20120426000111 IL Practitioner - Anesthesiology 8123280880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Southern Illinois University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ambulatory Anesthesiologists of Chicago LLCGroup PAC ID 4284605171, 6 clinicians

Practice addresses (Care Compare)

60 E Delaware PL
FL 15
Chicago, IL 60611-1998
Phone (312) 440-5150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-079479ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesiologists of Chicago, LLC Anesthesiology CurrentSince Jan 1, 2003 Accepting new patients
Palos Hills Surgery Center LLC Anesthesiology CurrentSince Mar 13, 2014 Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients

Locations

60 E Delaware Pl
Fl 15
Chicago, IL 60611
Phone (312) 440-5150

9831 S Western Ave
Chicago, IL 60643
Phone (773) 445-3500

10330 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 237-7200

27650 Ferry Rd
Warrenville, IL 60555
Phone (630) 225-2345

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700966546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LBX 809274 PO BOX 809274",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809274",
            "telephone_number": "773-445-9696",
            "fax_number": "773-445-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E DELAWARE PL",
            "address_2": "15TH FL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111495",
            "telephone_number": "312-440-5150",
            "fax_number": "312-440-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.