Individual provider Active NPI

Devin Christopher Carroll, DPM

  • Foot & Ankle Surgery Podiatrist
  • Suffolk, VA
National Provider Identifier
1124401948
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301236 Issued in VA
Practice address
5835 Harbour View Blvd Ste a
Suffolk, VA 23435-2601
Phone
(757) 384-6617
Fax
(757) 686-3669
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301236 VA Primary

Addresses

Primary practice location

5835 Harbour View Blvd Ste a
Suffolk, VA 23435-2601

Mailing address

171 N Main St
Suffolk, VA 23434-4507
Phone (757) 934-0768

Other practice location 1

2240 Coliseum Dr Ste A
Hampton, VA 23666-5903
Phone (757) 563-5595

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://balancehealth.com/provider/devin-carroll-dpm-aacfas/1foot2foot/ Health Information Exchange (HIE) 1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC
Direct Messaging Address dcarroll@weil4feet.com Direct 1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724001638 VA Practitioner - PodiatryPractitioner - Sports Medicine 8628325511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1Foot 2Foot Centre for Foot and Ankle Care PCGroup PAC ID 7315042835, 10 clinicians

Practice addresses (Care Compare)

2240 Coliseum Dr
Suite a
Hampton, VA 23666-5903
Phone (757) 934-0768

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as individual
Quality
69.55
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue77
Removal of skin lesions41
Removal of nail tissue1112
Removal or shaving of skin growth494
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
1Foot 2Foot Centre for Foot and Ankle Care, PC Foot & Ankle Surgery CurrentSince Aug 1, 2018 Accepting new patients
1Foot 2Foot Centre for Foot and Ankle Care, PC CurrentSince Aug 1, 2018 Accepting new patients

Locations

109 Wimbledon Sq
Ste F
Chesapeake, VA 23320
Phone (757) 436-9898

5835 Harbour View Blvd
Ste A
Suffolk, VA 23435
Phone (757) 384-6617

171 N Main St
Suffolk, VA 23434
Phone (757) 934-0768

1700 Pleasure House Rd
Ste 101
Virginia Beach, VA 23455
Phone (757) 363-3338

Interoperability endpoints

  • Direct secure messaging: dcarroll@weil.emadirect.md

Organizations & group practices 2

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1124401948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N MAIN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344507",
            "telephone_number": "757-934-0768",
            "fax_number": "757-925-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 HARBOUR VIEW BLVD STE A",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352601",
            "telephone_number": "757-384-6617",
            "fax_number": "757-686-3669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 Coliseum Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236665903",
            "country_code": "US",
            "telephone_number": "757-563-5595",
            "fax_number": "757-827-7164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "DEVIN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://balancehealth.com/provider/devin-carroll-dpm-aacfas/1foot2foot/",
            "affiliation": "Y",
            "endpointDescription": "Appointments",
            "affiliationName": "1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "171 N Main St",
            "city": "Suffolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234344507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcarroll@weil4feet.com",
            "affiliation": "Y",
            "affiliationName": "1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "171 N Main St",
            "city": "Suffolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234344507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.