Individual provider Active NPI

Joshua Michael Carroll, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ann Arbor, MI
National Provider Identifier
1093339558
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400474 Issued in MI
Practice address
3768 Packard St Ste a
Ann Arbor, MI 48108-2090
Phone
(734) 975-1700
NPI assigned
Jun 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5951001372APP20 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400474 MI Primary

Addresses

Primary practice location

3768 Packard St Ste a
Ann Arbor, MI 48108-2090

Mailing address

1869 Ludgate LN
Rochester Hills, MI 48309-2965
Phone (248) 376-6421

Other practice location 1

6080 Dixie Hwy Ste C
Clarkston, MI 48346-3493
Phone (248) 602-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531002377 MI Practitioner - Podiatry 9537581723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley E Seel DPM PCGroup PAC ID 4183707631, 5 clinicians
Carroll Foot and AnkleGroup PAC ID 3375989882, 2 clinicians

Practice addresses (Care Compare)

3768 Packard St
Suite a
Ann Arbor, MI 48108-2090
Phone (734) 975-1700

6080 Dixie Hwy
Suite C
Clarkston, MI 48346-3493
Phone (248) 276-6421

Hospital & facility affiliations

  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions35
Removal of nail tissue501
Removal or shaving of skin growth35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5951001372APP20MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Foot and Ankle Podiatrist CurrentSince Mar 11, 2024 Accepting new patients
Bradley E Seel DPM PC Podiatrist CurrentSince May 30, 2023 Accepting new patients
United Footcare PA Podiatrist PastSince May 30, 2023 Accepting new patients

Locations

3768 Packard St
Ste A
Ann Arbor, MI 48108
Phone (734) 975-1700

6080 Dixie Hwy
Ste C
Independence, MI 48346
Phone (248) 276-6421

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • Direct secure messaging: jcarroll244764@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1093339558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 LUDGATE LN",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092965",
            "telephone_number": "248-376-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 PACKARD ST STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082090",
            "telephone_number": "734-975-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 Dixie Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483463493",
            "country_code": "US",
            "telephone_number": "248-602-3501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5951001372APP20",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.