Individual provider Active NPI

Michael C Carroll, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1427051291
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000970A Issued in IN
Practice address
8849 Shelby St Ste B1
Indianapolis, IN 46227-6299
Phone
(317) 799-9000
Fax
(317) 561-4596
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000970A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 07000970A IN Primary

Addresses

Primary practice location

8849 Shelby St Ste B1
Indianapolis, IN 46227-6299

Mailing address

8849 Shelby St Ste B1
Indianapolis, IN 46227-6299
Phone (317) 799-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000173 IN Practitioner - Podiatry 6002896644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Foot and Ankle Clinic PCGroup PAC ID 3779940259, 2 clinicians

Practice addresses (Care Compare)

8849 Shelby St
Suite B1
Indianapolis, IN 46227-6299
Phone (317) 799-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue137
Removal of skin lesions1-10
Removal of nail tissue291
Removal or shaving of skin growth102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Foot & Ankle Clinic PC Podiatrist CurrentSince Feb 22, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

8849 Shelby St
Ste B1
Indianapolis, IN 46227
Phone (317) 799-9000

Interoperability endpoints

  • Direct secure messaging: mcarroll7547@direct.franciscanalliance.org

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1427051291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8849 SHELBY ST STE B1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276299",
            "telephone_number": "317-799-9000",
            "fax_number": "317-561-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 SHELBY ST STE B1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276299",
            "telephone_number": "317-799-9000",
            "fax_number": "317-561-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000970A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000970A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.