NPIMap

Individual provider Active NPI

Michael Carroll, M.D.

  • Surgery Physician
  • Biddeford, ME
National Provider Identifier
1699738252
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
014332 Issued in ME
Practice address
9 Healthcare Drive
Suite 204
Biddeford, ME 04005-3742
Phone
(207) 284-2630
Fax
(207) 284-2631
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 014332 ME Primary

Addresses

Primary practice location

9 Healthcare Drive
Suite 204
Biddeford, ME 04005-3742

Mailing address

1 Medical Dr
Biddeford, ME 04005-9422
Phone (207) 282-9080

Other identifiers 5

IdentifierTypeStateIssuer
1041112OtherMEAETNA
620050901OtherCIGNA
269230099MedicaidME
G33685OtherMEHARVARD PILGRIM
030300OtherMEANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20050525000885 ME Practitioner - General Surgery 8022050483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Vermont College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

72 Main St
Kennebunk, ME 04043-7021
Phone (207) 467-8810

9 Healthcare Dr
Biddeford, ME 04005-9445

9 Healthcare Dr
Biddeford, ME 04005-9449
Phone (207) 283-0998

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014332MEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Mainehealth CurrentSince Oct 1, 2008 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Current Accepting new patients
Webber Hospital Association CurrentSince Oct 1, 2008 Accepting new patients
Mainehealth Past Accepting new patients
Primecare Physician Associates Surgery Past Accepting new patients
Alternative Wellness Services PastSince Dec 7, 2018 Accepting new patients

Locations

9 Healthcare Dr
Ste 204
Biddeford, ME 04005
Phone (207) 284-2630

9 Healthcare Dr
Ste 201
Biddeford, ME 04005
Phone (207) 282-9080

24 W Cole Rd
Biddeford, ME 04005
Phone (207) 282-3666

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

30 W Cole Rd
Biddeford, ME 04005
Phone (207) 282-3349

9 Healthcare Dr
Ste 101
Biddeford, ME 04005
Phone (207) 282-4270

9 Healthcare Dr
Ste 202
Biddeford, ME 04005
Phone (207) 283-1427

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: mcarroll157437@direct.mmc.mainehealth.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 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1699738252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059422",
            "telephone_number": "207-282-9080",
            "fax_number": "207-282-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HEALTHCARE DRIVE",
            "address_2": "SUITE 204",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053742",
            "telephone_number": "207-284-2630",
            "fax_number": "207-284-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "014332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1041112",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "620050901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269230099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "G33685",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "030300",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.