Kristen L. Carroll, M.D.
Individual provider Active NPI Pediatric Orthopaedic Surgery Physician · Salt Lake City, UT
NPI 1366407488 · NPPES record last updated Dec 3, 2021
Key facts
- NPI
- 1366407488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Orthopaedic Surgery Physician 207XP3100X
- License
- 184860-1205 (UT)
- Practice address
- Fairfax Road at Virginia Street
Shriners Hospital for Children
Salt Lake City, UT 84103-4399 - Phone
- (801) 536-3600
- Fax
- (801) 536-3686
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Albany Medical College of Union University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hot Springs County Hospital District
University of Utah Adult Services
Practice addresses (Care Compare)
1125 Charles Ave
Worland, WY 82401-4021
Phone 3073472449612300
590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone (801) 587-7109
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.77 of 100
- Quality
- 91.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.42
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060110000661 | UT | Practitioner - Orthopedic Surgery | 2466475074 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184860-1205 | UT | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Pediatric Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Pediatric Services | Current | Accepting new patients | |
| Shriners Hospitals for Children | Orthopaedic Surgery | Current |
Accepting new patients |
| Shriners Hospitals for Children | Pediatric Orthopaedic Surgery | Current | Accepting new patients |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Pediatric Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Pediatric Orthopedic Associates | Past | Accepting new patients | |
| University of Utah Orthopedic Consultants | Orthopaedic Surgery | Past |
Accepting new patients |
Locations
127 S 500 E
Ste 200
Salt Lake City, UT 84102
127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478
1275 E Fairfax Rd
Salt Lake City, UT 84103
Phone (801) 536-3500
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
590 S Wakara Way
Slc, UT 84108
Phone (801) 587-7005
100 N Mario Capecchi Dr
#4550
Slc, UT 84113
Phone (801) 662-5600
Interoperability endpoints
- kcarroll89166@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 184860-1205 | UT | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 184860-1205 | UT | Yes |
Addresses
Primary practice location
Fairfax Road at Virginia Street
Shriners Hospital for Children
Salt Lake City, UT 84103-4399
Mailing address
Shriners Hospitals for Children Salt
Dept 5034
Los Angeles, CA 90084-0001
Phone (813) 281-8478
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76621073 | Medicaid | UT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KCARROLL89166@DIRECT.MED.UTAH.EDU | Direct | University of Utah |
Other providers in Salt Lake City, UT
- James Carrington
- Brett Carroll
- Brett Lavar Carroll
- Erin Carroll
- Kelly D Carroll
- Melisa Lee Carroll
- Anna Challice Carsey
- Madeline Grace Carsman
- Carah Lee Carson
- Chelsea Carson
All providers in Salt Lake City, UT · Pediatric Orthopaedic Surgery Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.