Individual provider Active NPI

Danielle M Carroll, MD

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1265824684
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
289122 Issued in NY
Practice address
8906 135TH St
Suite 3D
Jamaica, NY 11418-2821
Phone
(718) 206-6919
NPI assigned
Feb 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 289122 NY Primary

Addresses

Primary practice location

8906 135TH St
Suite 3D
Jamaica, NY 11418-2821

Mailing address

8906 135TH St
Suite 3D
Jamaica, NY 11418-2821
Phone (718) 206-6919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170919001623 NY Practitioner - Family Practice 2466726138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Warren Alpert Medical School of Brown University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276

9120 Atlantic Ave
Ozone Park, NY 11416-1527
Phone (718) 641-8207

Hospital & facility affiliations

  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289122NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Sep 13, 2017 Accepting new patients
Jamaica Hospital CurrentSince Sep 13, 2017 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Empire Gate Medical P.C. Family Medicine CurrentSince Jul 31, 2017 Accepting new patients
TJH Medical Services, P.C. Family Medicine CurrentSince Jul 31, 2017 Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients

Locations

8810 Parsons Blvd
Jamaica, NY 11432
Phone (718) 291-7111

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

9120 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 322-1580

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: daniellecarroll@mai.allscriptsdirect.net
  • Direct secure messaging: dcarroll30318@direct.medisys.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 1

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": "1424563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1265824684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 135TH ST",
            "address_2": "SUITE 3D",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182821",
            "telephone_number": "718-206-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 135TH ST",
            "address_2": "SUITE 3D",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182821",
            "telephone_number": "718-206-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-22",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "289122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.