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DONALD CARTER M.D.
NPI 1104887082
Pediatrics in Phoenix, AZ

Active since March 30, 2006PECOS Enrolled
635 EAST BASELINE ROAD, PHOENIX, AZ 85042(602) 243-7277(602) 323-3349 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donald Carter M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD CARTER M.D. (NPI 1104887082) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (33013) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104887082
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDONALD CARTERCredential: M.D.
Location Address635 EAST BASELINE ROADPhoenix, AZ 85042-6551
Mailing Address2702 North 3rd StreetPhoenix, AZ 85004-4608 · (602) 323-3344 · Fax (602) 323-3496
Phone(602) 243-7277
Fax(602) 323-3349
Sole ProprietorNo
Enumeration DateMarch 30, 2006
Last NPPES UpdateDecember 21, 2011
✔ NPI 1104887082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 33013
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
635 EAST BASELINE ROAD, Phoenix, AZ 85042
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Other Identifiers 5

Medicare UPIN104388AZ
Medicare PIN104388
Medicare UPING30719AZ
Medicaid868078AZ
Medicare UPING30719

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald Carter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY SOTO PHARMD
Pharmacist
635 EAST BASELINE ROAD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
DR. ANGELA JEAN RELF DDS
Dentist (General Practice)
635 EAST BASELINE ROAD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
MS. ALANA M PODWIKA R.PH MBA
Pharmacist
635 EAST BASELINE ROAD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
DR. CARMEN AROCHO-VERA M.D.
Family Medicine
635 EAST BASELINE ROAD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
DUNCAN TANG M.D.
Pediatrics
635 EAST BASELINE ROAD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
MS. CHRISTINA L SHELLEY NP
Nurse Practitioner (Family)
635 EAST BASELINE ROAD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
JULIE NUGYEN PHARMD
Pharmacist
635 EAST BASELINE ROAD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277
WILLIAM ROSENFELD L.P.C.
Counselor
635 EAST BASELINE ROAD
PHOENIX, AZ 85042
Maricopa County (602) 243-7277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Carter's NPI number?

The NPI number for Donald Carter is 1104887082. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Donald Carter located?

Donald Carter practices at 635 East Baseline Road, Phoenix, AZ 85042. The listed phone number is (602) 243-7277.

What is Donald Carter's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Donald Carter enrolled in Medicare?

Yes. Donald Carter is registered in the Medicare PECOS enrollment system.

What insurance does Donald Carter accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Donald Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Carter was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.