Individual provider Active NPI

Molly A. Carroll, M.D.

  • Obstetrics & Gynecology Physician
  • Albuquerque, NM
National Provider Identifier
1144549262
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD2017-0424 Issued in NM
Practice address
5700 Harper Dr NE Ste 410
Albuquerque, NM 87109-3585
Phone
(505) 843-7813
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0437255 KS
Obstetrics & Gynecology Physician 207V00000X MD2017-0424 NM Primary

Addresses

Primary practice location

5700 Harper Dr NE Ste 410
Albuquerque, NM 87109-3585

Mailing address

5700 Harper Dr NE Ste 410
Albuquerque, NM 87109-3585
Phone (505) 843-7813

Other practice location 1

3233 E 2nd St N
Wichita, KS 67208-3202
Phone (316) 683-6766

Other identifiers 2

IdentifierTypeStateIssuer
201098510BMedicaidKS
36037532MedicaidNM

Other names 1

  • Molly A. Kirkhart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20170621002645 NM Practitioner - Obstetrics/Gynecology 9537301833 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0437255KSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Mar 13, 2023 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Aug 1, 2017 Accepting new patients
Southwest Women'S Oncology Inc. CurrentSince Apr 4, 2022 Accepting new patients
Presbyterian Healthcare Services Obstetrics & Gynecology CurrentSince Mar 13, 2023 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Aug 1, 2017 Accepting new patients

Locations

5700 Harper Dr NE
Ste 410
Albuquerque, NM 87109
Phone (505) 372-1589

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

4705 Montgomery Blvd NE
Ste 301
Albuquerque, NM 87109
Phone (505) 727-4500

10511 Golf Course Rd NW
Ste 201
Albuquerque, NM 87114
Phone (505) 232-1180

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2400 Unser Blvd SE
Ste 28300
Rio Rancho, NM 87124
Phone (505) 559-6100

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

Interoperability endpoints

  • Direct secure messaging: mcarroll212389@direct.phs.org

Organizations & group practices 6

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1144549262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 HARPER DR NE STE 410",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093585",
            "telephone_number": "505-843-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 HARPER DR NE STE 410",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093585",
            "telephone_number": "505-843-7813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3233 E 2nd St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672083202",
            "country_code": "US",
            "telephone_number": "316-683-6766",
            "fax_number": "316-683-1342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MOLLY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "0437255",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2017-0424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201098510B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36037532",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "KIRKHART",
            "middle_name": "A.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.