Individual provider Active NPI

Victoria Carroll, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clarkston, MI
National Provider Identifier
1942884614
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400516 Issued in MI
Practice address
6080 Dixie Hwy Ste C
Clarkston, MI 48346-3493
Phone
(248) 602-3501
Fax
(248) 602-3502
NPI assigned
May 10, 2021
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400516 MI Primary

Addresses

Primary practice location

6080 Dixie Hwy Ste C
Clarkston, MI 48346-3493

Mailing address

6080 Dixie Hwy Ste C
Clarkston, MI 48346-3493

Other practice location 1

4201 Saint Antoine St # 9C
Detroit, MI 48201-2153
Phone (813) 215-6000

Other practice location 2

3768 Packard St Ste A
Ann Arbor, MI 48108-2090
Phone (734) 975-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508002728 MI Practitioner - Podiatry 4688073026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley E Seel DPM PCGroup PAC ID 4183707631, 5 clinicians
Carroll Foot and AnkleGroup PAC ID 3375989882, 2 clinicians

Practice addresses (Care Compare)

3768 Packard St
Suite a
Ann Arbor, MI 48108-2090
Phone (734) 975-1700

6080 Dixie Hwy
Suite C
Clarkston, MI 48346-3493
Phone (248) 276-6421

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue167
Removal or shaving of skin growth46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400516MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Foot and Ankle Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Bradley E Seel DPM PC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
United Footcare PA Single Specialty Past Accepting new patients

Locations

3768 Packard St
Ste A
Ann Arbor, MI 48108
Phone (734) 975-1700

6080 Dixie Hwy
Ste C
Independence, MI 48346
Phone (248) 276-6421

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1942884614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 DIXIE HWY STE C",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 DIXIE HWY STE C",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463493",
            "telephone_number": "248-602-3501",
            "fax_number": "248-602-3502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St # 9C",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "813-215-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3768 Packard St Ste A",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481082090",
            "country_code": "US",
            "telephone_number": "734-975-1700",
            "fax_number": "734-975-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "VICTORIA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.