Individual provider Active NPI

Bella Sterling Carroll, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1104154665
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18611 Issued in OK
Practice address
6201 N Santa Fe Ave Ste 2010
Oklahoma City, OK 73118-7532
Phone
(405) 272-5555
Fax
(405) 272-5517
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M0032 TX
Family Medicine Physician 207Q00000X 18611 OK Primary

Addresses

Primary practice location

6201 N Santa Fe Ave Ste 2010
Oklahoma City, OK 73118-7532

Mailing address

6201 N Santa Fe Ave Ste 2010
Oklahoma City, OK 73118-7532
Phone (405) 272-5555

Other practice location 1

608 NW 9th St Ste 1000
Saint Anthony's Family Medicine Clinic
Oklahoma City, OK 73102-1014
Phone (405) 231-3000

Other identifiers 2

IdentifierTypeStateIssuer
18611OtherOKMEDICAL LICENSE
M0032OtherTXTX MEDICAL BOARD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bcarroll202778@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20110323000910 OK Practitioner - Family Practice 0648453928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

6201 N Santa Fe
Suite 2010
Oklahoma City, OK 73118-7538
Phone (405) 272-5555

Hospital & facility affiliations

  • SSM Health at Home Home Health - Oklahoma Home health agency, Oklahoma City, OK, CCN 377035
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18611OKMDFamily Medicine Physician
M0032TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care of Oklahoma, Inc Current Accepting new patients
Saints Medical Group, LLC CurrentSince Aug 6, 2017 Accepting new patients
Saints Medical Group, LLC Family Medicine CurrentSince Aug 6, 2017 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

608 NW 9th St
Ste 1000
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

1110 N Lee Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 231-3000

6201 N Santa Fe Ave
Ste 2010
Oklahoma City, OK 73118
Phone (405) 272-5555

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

Interoperability endpoints

  • Direct secure messaging: bcarroll376134@direct.ochin.org

Organizations & group practices 4

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": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1104154665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE STE 2010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187532",
            "telephone_number": "405-272-5555",
            "fax_number": "405-272-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE STE 2010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187532",
            "telephone_number": "405-272-5555",
            "fax_number": "405-272-5517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 NW 9th St Ste 1000",
            "address_2": "Saint Anthony's Family Medicine Clinic",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021014",
            "country_code": "US",
            "telephone_number": "405-231-3000",
            "fax_number": "405-231-3073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "BELLA",
        "middle_name": "STERLING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0032",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "18611",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL BOARD",
            "identifier": "M0032",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bcarroll202778@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bcarroll202778@direct-ehr-ssmhc.com",
            "address_1": "608 NW 9th St Ste 1000",
            "address_2": "Saint Anthony's Family Medicine Clinic",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731021014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "608 NW 9th St Ste 1000",
            "address_2": "Saint Anthony's Family Medicine Clinic",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731021014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.