Individual provider Active NPI

Marion Carroll, MD

  • Emergency Medicine Physician
  • Cleveland, OH
National Provider Identifier
1568425668
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35060690 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106
Phone
(216) 844-1000
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35060690 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106

Mailing address

1020 Homewood Dr
Lakewood, OH 44107-1420
Phone (216) 228-6526

Other identifiers 9

IdentifierTypeStateIssuer
000000212469OtherOHUNISON
000000503545OtherOHANTHEM
363398OtherOHWELLCARE MEDICAID
742629OtherOHBUCKEYE MEDICAID
000000379823OtherOHANTHEM
4405802OtherOHAETNA
0823238MedicaidOH
N363376OtherOHWELLCARE
P00382874OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051010000937 OH Practitioner - Emergency Medicine 4688699572 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Ohio Emergency Group, LLCGroup PAC ID 7810233517, 42 clinicians

Practice addresses (Care Compare)

199 W Main St
Shelby, OH 44875-1490
Phone (419) 342-5015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
84.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35060690OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Link Center LLC Emergency Medicine CurrentSince May 1, 2008 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System Emergency Medicine CurrentSince Mar 2, 2016 Accepting new patients
The Metrohealth System CurrentSince Mar 2, 2016 Accepting new patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Dec 6, 2020 Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Brown Memorial Hospital Emergency Medicine Past Accepting new patients
Ohio Em-I Medical Services, Professional Association Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Cleveland Heights, OH 44106

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

Interoperability endpoints

  • Direct secure messaging: mcarrol114992@direct.metrohealth.org

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1568425668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 HOMEWOOD DR",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071420",
            "telephone_number": "216-228-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-844-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MARION",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35060690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000212469",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000503545",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICAID",
            "identifier": "363398",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE MEDICAID",
            "identifier": "742629",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000379823",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4405802",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0823238",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N363376",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00382874",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.