Active NPI
Padraic C. Carmody, MD
- Surgery Physician
- Kalamazoo, MI
National Provider Identifier
1982667713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301053739
- Practice address
- 3125 W. Main Street
Kalamazoo, MI 49006-2997 - Phone
- (269) 372-2846
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 53739 | MI | |
| Surgery Physician | 208600000X | 4301053739 | MI | Primary |
Addresses
Primary practice location
3125 W. Main Street
Kalamazoo, MI 49006-2997
Mailing address
5044 Whippoorwill Drive
Kalamazoo, MI 49009-4526
Phone (269) 372-2846
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102592947 | Medicaid | MI | |
| 2592949 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301053739 | MI | MD | Surgery Physician |
| 53739 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Critical Care Pulmonary Medicine, PC | Past | Accepting new patients | |
| Bronson Battle Creek Hospital | Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Battle Creek, MI
- NPI 1679520712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1982667713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5044 WHIPPOORWILL DRIVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490094526",
"telephone_number": "269-372-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 W. MAIN STREET",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490062997",
"telephone_number": "269-372-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMODY",
"first_name": "PADRAIC",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "53739",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301053739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102592947",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2592949",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.