Individual provider Active NPI

Aaron Carroll

  • Pediatrics Physician
  • Indianapolis, IN
National Provider Identifier
1013943125
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01057726A Issued in IN
Practice address
705 Riley Hospital Dr
Msa1
Indianapolis, IN 46202-5109
Phone
(317) 278-0552
Fax
(317) 278-0456
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01057726A IN Primary

Addresses

Primary practice location

705 Riley Hospital Dr
Msa1
Indianapolis, IN 46202-5109

Mailing address

PO Box 78158
Indianapolis, IN 46278-0158

Other identifiers 2

IdentifierTypeStateIssuer
200445430MedicaidIN
64065758MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acarroll2@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050128000515 IN Practitioner - Pediatric Medicine 3779533518 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. CurrentSince Jul 1, 2014 Accepting new patients
University Family Physicians, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Children'S Hospital & Regional Medical Center 2 Past Accepting new patients
Iu Health Medical Group, LLC Past Accepting new patients
The Association of Chrmc and University Physicians Pediatrics Past Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

705 Riley Hospital Dr
#1
Indianapolis, IN 46202
Phone (317) 274-2500

1002 Wishard Blvd
Fl 4
Indianapolis, IN 46202
Phone (317) 692-2323

1002 Wishard Blvd
Fl 1
Indianapolis, IN 46202
Phone (317) 630-6523

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

Interoperability endpoints

  • Direct secure messaging: acarroll2@direct.iuhealth.org

Organizations & group practices 5

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1013943125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78158",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462780158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "address_2": "MSA1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-278-0552",
            "fax_number": "317-278-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01057726A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200445430",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64065758",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acarroll2@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "705 Riley Hospital Dr",
            "address_2": "MSA1",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.