Individual provider Active NPI

John Thomas Carroll, D.O.

  • General Practice Physician
  • Cockeysville, MD
National Provider Identifier
1457573578
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
H47469 Issued in MD
Practice address
9832 York Rd
Suite F
Cockeysville, MD 21030-4936
Phone
(410) 628-1861
Fax
(410) 628-1862
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X H47469 MD Primary

Addresses

Primary practice location

9832 York Rd
Suite F
Cockeysville, MD 21030-4936

Mailing address

412 Sassafras Court
Bel Air, MD 21015
Phone (443) 512-8729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120716000469 MD Practitioner - Family PracticePractitioner - General Practice 4688614670 Reassigns benefits to 2 organizations
I20171219002046 DC Practitioner - General Practice 4688614670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silverstein Medical LLCGroup PAC ID 6709122963, 5 clinicians

Practice addresses (Care Compare)

805 S Union Ave
Havre de Grace, MD 21078-3610
Phone (410) 939-5843

805 S Union Ave
Havre de Grace, MD 21078-3676
Phone (410) 939-5843

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Oct 17, 2017 Accepting new patients
MNR Industries, LLC CurrentSince Apr 29, 2012 Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Apr 29, 2012 Accepting new patients
Silverstein Medical LLC General Practice CurrentSince Oct 1, 2025 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients
U N I Medical Care Inc CurrentSince Jul 21, 2024 Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

6030 Daybreak Cir
Ste A150179
Clarksville, MD 21029

9832 York Rd
Ste F
Cockeysville, MD 21030
Phone (410) 628-1861

11236 Robinwood Dr
Ste 101
Hagerstown, MD 21742
Phone (240) 313-4242

805 S Union Ave
Hvre de Grace, MD 21078
Phone (410) 939-5843

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

826 Washington Rd
Ste 110A
Westminster, MD 21157
Phone (410) 751-7480

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJIEDD

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457573578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SASSAFRAS COURT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21015",
            "telephone_number": "443-512-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 YORK RD",
            "address_2": "SUITE F",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304936",
            "telephone_number": "410-628-1861",
            "fax_number": "410-628-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "H47469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

Verify at the official NPI Registry.