Active NPI
Ian L Carroll, MD
- Hospitalist Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 27379
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136-1902 - Phone
- (918) 502-1900
- Fax
- (918) 494-6303
- NPI assigned
- May 25, 2006
- Last updated
- Oct 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27379 | OK | |
| Hospitalist Physician | 208M00000X | 27379 | OK | Primary |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Mailing address
6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3361
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD3207 | Medicaid | AK | |
| 200264470A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Washington School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Saint Francis Hospital South, LLC
- Saint Francis Hospital Muskogee
- Saint Francis Hospital Vinita, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.31 of 100
- Improvement activities
- 20
- Cost
- 82.71
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.06 of 100
- Quality
- 75.25
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27379 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Tulsa Hospital Medicine Physicians Group, LLC | Internal Medicine | Current | Accepting new patients |
| St. John Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Ahs Southcrest Hospital, LLC | Past | Accepting new patients |
Locations
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
Interoperability endpoints
- ian.carroll@direct.stjohnhealthsystem.com
- icarroll7729@direct.saintfrancis.com
- icarroll868631@ahs.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1144982711
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
OK
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
dba HIllcrest Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Francis Hospital Muskogee
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
-
dba Saint Francis Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Medicare Defined Swing Bed Hospital Unit
- Vinita, OK
- NPI 1467902460
-
- Psychiatric Hospital Unit
- Vinita, OK
- NPI 1578013579
-
- General Acute Care Hospital
- Vinita, OK
- NPI 1700334232
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1437105400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1200",
"city": "TULSA",
"state": "OK",
"postal_code": "741363361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361902",
"telephone_number": "918-502-1900",
"fax_number": "918-494-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "IAN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "27379",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OK",
"license": "27379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD3207",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200264470A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.