Active NPI
Marion Carroll, MD
- Emergency Medicine Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35060690
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000212469 | Other | OH | UNISON |
| 000000503545 | Other | OH | ANTHEM |
| 363398 | Other | OH | WELLCARE MEDICAID |
| 742629 | Other | OH | BUCKEYE MEDICAID |
| 000000379823 | Other | OH | ANTHEM |
| 4405802 | Other | OH | AETNA |
| 0823238 | Medicaid | OH | |
| N363376 | Other | OH | WELLCARE |
| P00382874 | Other | OH | RAILROAD 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
Enrollment records 1
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
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 100
- Quality
- 84.85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35060690 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Link Center LLC | Emergency Medicine | Current | Accepting new patients |
| Magis Emergency Medicine LLC | Emergency Medicine | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Emergency Medicine | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| Mid-Ohio Emergency Group, LLC | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Mansfield, OH
- NPI 1881164010
-
- Emergency Medicine Physician
- Parma, OH
- NPI 1801287511
-
- Emergency Medicine Physician
- Elyria, OH
- NPI 1235172925
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
Emergency Medicine
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- Emergency Medicine Physician
- Conneaut, OH
- NPI 1447330519
-
- Physician Assistant
- Willoughby, OH
- NPI 1033429808
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mansfield, OH
- NPI 1790837235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.