Individual provider

Frank Carter, MD

Colon & Rectal Surgery Physician Medicare enrolled

Frank Carter, MD is a Colon & Rectal Surgery Physician in West Reading, PA, registered under NPI 1063405165.

Getting there

The practice address on file is 301 S 7TH AVE SUITE 100, West Reading, PA 19611. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

301 S 7TH AVE SUITE 100, West Reading, PA 19611 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD041054E PA Colon & Rectal Surgery Physician primary
BC2250467 PA Colon & Rectal Surgery Physician

This provider holds licence MD041054E issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Colorectal Surgery (proctology)
PAC ID
3274583539

Medicare enrolment is recorded as approved under the provider type Practitioner - Colorectal Surgery (proctology). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Colon & Rectal Surgery covers

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. NUCC Health Care Provider Taxonomy, code 208C00000X
Allopathic & Osteopathic Physicians Colon & Rectal Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208C00000X Colon & Rectal Surgery Physician MD041054E PA primary
208C00000X Colon & Rectal Surgery Physician BC2250467 PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063405165 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 24, 2005
Last updatedMay 21, 2008
StatusActive
Sole proprietorNo
CredentialMD
Practice address 301 S 7TH AVE
SUITE 100
West Reading, PA 19611
(610) 375-6001
Fax (610) 374-0678
This record was last updated on May 21, 2008, roughly 18 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063405165 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 4 0 5 1 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 8 0 1 1 3

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063405165?
NPI 1063405165 is the National Provider Identifier assigned to Frank Carter, MD in West Reading, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Colon & Rectal Surgery Physician cover?
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary…
How do I contact Frank Carter, MD?
The phone number on file with NPPES is (610) 375-6001, last updated May 21, 2008. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Frank Carter, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063405165 a valid number?
Yes. 1063405165 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.