Organization Active NPI

Carroll Foot & Ankle Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1922706522
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CARROLL FOOT & ANKLE CLINIC PC
Practice address
8849 Shelby St Ste B1
Indianapolis, IN 46227-6299
Phone
(317) 799-9000
Fax
(317) 561-4596
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2023

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

Authorized official

Name
Dr. Michael C Carroll, DPMNPI 1427051291
Title
Owner
Phone
(317) 799-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

8849 Shelby St Ste B1
Indianapolis, IN 46227-6299

Mailing address

8849 Shelby St Ste B1
Indianapolis, IN 46227-6299
Phone (317) 799-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230530001102 IN Part B Supplier - Clinic/Group Practice 3779940259 Receives reassigned benefits from 2 practitioners
Practice locations: Indianapolis, IN
O20230911002214 IN DME Supplier - Physician - Podiatry 3779940259 Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688774400000",
    "number": "1922706522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8849 SHELBY ST STE B1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276299",
            "telephone_number": "317-799-9000",
            "fax_number": "317-561-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 SHELBY ST STE B1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276299",
            "telephone_number": "317-799-9000",
            "fax_number": "317-561-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL FOOT & ANKLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-799-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.