Individual provider Active NPI

Peter R. Carroll, M.D.

  • Urology Physician
  • San Francisco, CA
National Provider Identifier
1366461667
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A35750 Issued in CA
Practice address
1600 Divisadero St FL 3
San Francisco, CA 94115-3010
Phone
(415) 353-7171
Fax
(415) 353-7093
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A35750 CA Primary

Addresses

Primary practice location

1600 Divisadero St FL 3
San Francisco, CA 94115-3010

Mailing address

1600 Divisadero St
3Rd Floor Uro Onc Practice
San Francisco, CA 94115
Phone (415) 353-7171

Other identifiers 1

IdentifierTypeStateIssuer
00A357500MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080219000296 CA Practitioner - Urology 4789767443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Georgetown University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

225 California Dr
Burlingame, CA 94010-4145
Phone (650) 341-9131

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35750CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Urology CurrentSince Jan 17, 2010 Accepting new patients
University of California San Francisco CurrentSince Jan 12, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2007 Accepting new patients
University of California SFGH Medical Group CurrentSince Jan 17, 2010 Accepting new patients
University of California San Francisco CurrentSince Jan 12, 2020 Accepting new patients
UCSF Medical Group Business Services Urology CurrentSince Jul 1, 2007 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1825 4th St
Ste 4
San Francisco, CA 94143

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1001 Potrero Ave
Rm 3A20
San Francisco, CA 94110
Phone (415) 206-8806

1825 4th St
Fl 4
San Francisco, CA 94143
Phone (415) 353-9888

3333 California St
Ste S110
San Francisco, CA 94118

400 Parnassus Ave
#A610
San Francisco, CA 94143
Phone (415) 353-2200

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1825 4th St
#4
San Francisco, CA 94143

1600 Divisadero St
Fl 3
San Francisco, CA 94143
Phone (415) 353-7171

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Organizations & group practices 9

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1366461667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST",
            "address_2": "3RD FLOOR URO ONC PRACTICE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-353-7171",
            "fax_number": "415-353-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153010",
            "telephone_number": "415-353-7171",
            "fax_number": "415-353-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "PETER",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A35750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A357500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.