Individual provider Active NPI

Kerry D McCarroll, MD

  • Family Medicine Physician
  • Alvin, TX
National Provider Identifier
1568448181
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F9797 Issued in TX
Practice address
400 Medic LN Ste C
Alvin, TX 77511-5567
Phone
(281) 331-0082
Fax
(281) 331-2624
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F9797 TX Primary

Addresses

Primary practice location

400 Medic LN Ste C
Alvin, TX 77511-5567

Mailing address

PO Box 1968
Alvin, TX 77512-1968
Phone (281) 331-0082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101103000281 TX Practitioner - Family Practice 8820170053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medic Lane Physicians PLLCGroup PAC ID 4082660600, 2 clinicians

Practice addresses (Care Compare)

400 Medic LN
Suite C
Alvin, TX 77511-5567
Phone (281) 331-0082

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9797TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Medic Lane Physicians PLLC Family Medicine CurrentSince Aug 1, 1998 Accepting new patients

Locations

400 Medic Ln
Ste C
Alvin, TX 77511
Phone (281) 331-0082

1100 Smith Dr
Alvin, TX 77511
Phone (281) 331-0082

Interoperability endpoints

  • Direct secure messaging: kerry.mccarroll@mlp.eclinicaldirectplus.com

Organizations & group practices 1

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 8

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1568448181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1968",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775121968",
            "telephone_number": "281-331-0082",
            "fax_number": "281-331-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDIC LN STE C",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775115567",
            "telephone_number": "281-331-0082",
            "fax_number": "281-331-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARROLL",
        "first_name": "KERRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

Verify at the official NPI Registry.