Jeremy Cass Carrico, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

24318 Issued in OK

Practice address

10901 E 48TH St
Tulsa, OK 74146-5830

Phone

(918) 749-8765

Fax

(918) 392-2155

NPI assigned

Jul 20, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in OK, AR, MO3 enrollments

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 3

Specialty

Urology

Education

Louisiana State University School of Medicine in Shreveport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urologic Specialists of Oklahoma IncGroup PAC ID 3779470091, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
• Oklahoma Surgical Hospital, LLC Hospital, Tulsa, OK, CCN 370210
• Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235
• Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremy.carrico@direct.stjohnhealthsystem.com
• Direct secure messaging: jcarrico210090@ahs.direct-ci.com
• Direct secure messaging: jeremycarrico@usoinc.medalliesdirect.net
• FHIR API: https://fhir-myrecord.cerner.com/r4/37d0fa6b-e0f7-4581-adbb-f9e2eac855e1/

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Oklahoma Surgical Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1487651857

  General Partnership Interest

  CMS ownership

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.

• Urologic Specialists of Oklahoma Inc

  • Urology Physician
  • Tulsa, OK
  • NPI 1174546162

  AR, MO

  Medicare reassignment Care Compare group
• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817
  Medicare reassignment NPD
• Oklahoma Surgical Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1487651857
  NPD (past)

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

• Oklahoma Surgical Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1487651857
  Care Compare affiliation
• Saint Francis Hospital Muskogee Inc

  • General Acute Care Hospital
  • Muskogee, OK
  • NPI 1386188837
  Care Compare affiliation
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation
• St. John Broken Arrow, Inc

  • General Acute Care Hospital
  • Broken Arrow, OK
  • NPI 1497988596
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1922028828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 E 48TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465830",
            "telephone_number": "918-749-8765",
            "fax_number": "918-392-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 E 48TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465830",
            "telephone_number": "918-749-8765",
            "fax_number": "918-392-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRICO",
        "first_name": "JEREMY",
        "middle_name": "CASS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "24318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200054370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Danae Carrell
• Michelle Carreon
• Brian Carrera
• Gabrielle Carrico, RN
• George B Carrico, MD
• Carrie F Short
• Carrie McDowell, LCSW LTD Co
• Alexis Carrier, COTA
• Alyssa Carrier
• Loretta Sue Carrier

• Urology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Urology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.