Active NPI
Daniel John-Martin Carroll, M.D
- Otolaryngology Physician
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01092672A
- Practice address
- 7388 Business Center Dr
Avon, IN 46123-6973 - Phone
- (888) 938-3838
- Fax
- (888) 919-1083
- NPI assigned
- Jun 25, 2013
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 64776 | MN | |
| Otolaryngology Physician | 207Y00000X | 01092672A | IN | Primary |
Addresses
Primary practice location
7388 Business Center Dr
Avon, IN 46123-6973
Mailing address
10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838
Other practice location 1
9500 Priority Way W Dr
Ste 100
Indianapolis, IN 46240-1472
Phone (888) 938-3838
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7388 Business Ctr Dr
Avon, IN 46123-6973
Phone (888) 938-3838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01092672A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Sleep and Nasal Sinus Disorders, LLC | Current | Accepting new patients | |
| Center for Sleep and Nasal Sinus Disorders, LLC | Otolaryngology | Past | Accepting new patients |
Locations
7388 Business Center Dr
Avon, IN 46123
Phone (317) 272-0480
6920 S East St
Ste B
Indianapolis, IN 46227
Phone (317) 497-6880
9500 Priority Way West Dr
#100
Indianapolis, IN 46240
53760 Generations Dr
South Bend, IN 46635
Phone (219) 247-4444
10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226
Interoperability endpoints
- https://api.platform.athenahealth.com/19820/brand/1/csg/1/fhir/r4
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.
-
- Sleep Medicine (Otolaryngology) Physician
- South Bend, IN
- NPI 1568015485
-
- Otolaryngology Physician
- Avon, IN
- NPI 1235997800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1487093399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 W INNOVATION DR STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264851",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7388 BUSINESS CENTER DR",
"city": "AVON",
"state": "IN",
"postal_code": "461236973",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083"
}
],
"practiceLocations": [
{
"address_1": "9500 Priority Way W Dr",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462401472",
"country_code": "US",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "DANIEL",
"middle_name": "JOHN-MARTIN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-25",
"last_updated": "2024-03-07",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MN",
"license": "64776",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01092672A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.