Individual provider Active NPI

Philip W Carrott Jr., M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charlottesville, VA
National Provider Identifier
1821216664
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
0101271400 Issued in VA
Practice address
1221 Lee St
Charlottesville, VA 22908-5344
Phone
(434) 243-1000
Fax
(434) 243-7551
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD 60156953 WA
Surgery Physician 208600000X 4301103227 MI
Surgery Physician 208600000X 0101271400 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301103227 MI
Student in an Organized Health Care Education/Training Program 390200000X 0116023360 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101271400 VA Primary

Addresses

Primary practice location

1221 Lee St
Charlottesville, VA 22908-5344

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

1500 East Medical Center Dr
2nd Floor Taubman Center Recp B
Ann Arbor, MI 48109-5344
Phone (734) 936-8857

Other identifiers 1

IdentifierTypeStateIssuer
1821216664MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcarrott31811@bcm.ghhdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131002000414 MI Practitioner - Thoracic SurgeryPractitioner - General Surgery 5597880286 Reassigns benefits to 1 organization
I20210215000985 VA Practitioner - Thoracic SurgeryPractitioner - General Surgery 5597880286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians

Practice addresses (Care Compare)

1221 Lee St
Charlottesville, VA 22908-0001
Phone (434) 924-2500

Hospital & facility affiliations

  • Continuum Home Health Care Home health agency, Charlottesville, VA, CCN 497490
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009
  • Augusta Health Hospital, Fishersville, VA, CCN 490018
  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux40
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 60156953WAMDSurgery Physician
0116023360VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan CurrentSince Jul 9, 2013 Accepting new patients
Valley Physician Enterprise, Inc Surgery CurrentSince Aug 18, 2023 Accepting new patients
Baylor College of Medicine Surgery CurrentSince Apr 26, 2019 Accepting new patients
Regents of the University of Michigan Surgery CurrentSince Jul 9, 2013 Accepting new patients
Regents of the University of Michigan Current Accepting new patients
Baylor College of Medicine CurrentSince Apr 26, 2019 Accepting new patients
Winchester Medical Center CurrentSince Aug 18, 2023 Accepting new patients
University of Virginia Physicians Group CurrentSince Feb 9, 2021 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Aug 18, 2023 Accepting new patients
Winchester Medical Center CurrentSince Aug 18, 2023 Accepting new patients
Winchester Medical Center Current Accepting new patients

Locations

1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823

1500 E Medical Center Dr
Fl 2
Ann Arbor, MI 48109
Phone (734) 936-5738

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
#700
Ann Arbor, MI 48108

8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 6
Houston, TX 77030
Phone (713) 798-2545

6620 Main St
Ste 1375
Houston, TX 77030
Phone (713) 798-6198

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1221 Lee St
Charlottesville, VA 22908

1240 Lee St
Charlottesville, VA 22908

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1880 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

Interoperability endpoints

  • Direct secure messaging: pcarrott144818@direct.healthsystem.virginia.edu
  • Direct secure messaging: pcarrott1105090@valleyhealth.direct-ci.com

Organizations & group practices 11

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 4

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1821216664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229085344",
            "telephone_number": "434-243-1000",
            "fax_number": "434-243-7551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 East Medical Center Dr",
            "address_2": "2nd Floor Taubman Center Recp B",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095344",
            "country_code": "US",
            "telephone_number": "734-936-8857",
            "fax_number": "734-615-2656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROTT",
        "first_name": "PHILIP",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD 60156953",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301103227",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101271400",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301103227",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116023360",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101271400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821216664",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcarrott31811@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "7200 Cambridge St Fl 6",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.