NPIMap

Individual provider Active NPI

Chad E Carroll, D.O.

  • Family Medicine Physician
  • Pikeville, KY
National Provider Identifier
1598024754
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03722 Issued in KY
Practice address
184 S Mayo TRL
Pikeville, KY 41501-1518
Phone
(606) 218-4800
Fax
(606) 218-4810
NPI assigned
May 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 03722 KY Primary
Emergency Medicine Physician 207P00000X 03722 KY

Addresses

Primary practice location

184 S Mayo TRL
Pikeville, KY 41501-1518

Mailing address

PO Box 2917
Pikeville, KY 41502-2917
Phone (606) 218-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826002918 KY Practitioner - Emergency MedicinePractitioner - Family Practice 6406074889 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Valley Emergency Physicians, LLCGroup PAC ID 4385035534, 36 clinicians

Practice addresses (Care Compare)

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (844) 270-6621

476 Liberty Rd
West Liberty, KY 41472-2049
Phone (606) 743-3186

Hospital & facility affiliations

  • Morgan County Arh Hospital Hospital, West Liberty, KY, CCN 181307
  • Paintsville Arh Hospital Hospital, Paintsville, KY, CCN 180078
  • Morgan County Arh Hospital Nursing home, CCN 18Z307

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
83.59
Improvement activities
40
Cost
90.93

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
76.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03722KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Jul 15, 2014 Accepting new patients
Middlesborough Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Combs Mountain Emergency Group, LLC Emergency Medicine CurrentSince Mar 5, 2020 Accepting new patients
Hyden Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 15, 2014 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Williamson Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

11203 Main St
Martin, KY 41649
Phone (606) 285-5181

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

625 James Trimble Blvd
Paintsville, KY 41240

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

260 Hospital Dr
Ste 1
South Williamson, KY 41503
Phone (606) 237-1700

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

Organizations & group practices 7

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 7

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1598024754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2917",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022917",
            "telephone_number": "606-218-4800",
            "fax_number": "606-218-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011518",
            "telephone_number": "606-218-4800",
            "fax_number": "606-218-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CHAD",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03722",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "03722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.