Active NPI
Joel Carroll, MD
- Family Medicine Physician
- Salem, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24302-20
- Practice address
- 7322 236TH Ave
Salem, WI 53168-9664 - Phone
- (262) 577-8460
- Fax
- (262) 577-8399
- NPI assigned
- Aug 7, 2006
- Last updated
- Dec 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 24302 | WI | |
| Family Medicine Physician | 207Q00000X | 24302-20 | WI | Primary |
Addresses
Primary practice location
7322 236TH Ave
Salem, WI 53168-9664
Mailing address
6308 8TH Ave
Kenosha, WI 53143-5031
Phone (262) 656-3313
Other names 1
- Joel Patrick Carroll
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advantage Physical Therapy and Sports Rehab, LLC
Practice addresses (Care Compare)
7137 236TH Ave
Salem, WI 53168-8975
Phone (262) 925-5060
7322 236TH Ave
Salem, WI 53168-9664
Phone (262) 577-8460
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 69.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24302 | WI | MD | Emergency Medicine Physician |
| 24302-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert South, Inc. | Past | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jcarroll342059@direct.froedtert.com
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.
-
dba Froedtert South Medical Group
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
-
- Home Health Agency
- Milwaukee, WI
- NPI 1780687327
-
dba Alliance HomeCare
- Community Based Hospice Care Agency
- Pleasant Prairie, WI
- NPI 1053314252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1962411090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6308 8TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531435031",
"telephone_number": "262-656-3313",
"fax_number": "262-577-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7322 236TH AVE",
"city": "SALEM",
"state": "WI",
"postal_code": "531689664",
"telephone_number": "262-577-8460",
"fax_number": "262-577-8399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "24302",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "24302-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOEL",
"last_name": "CARROLL",
"middle_name": "PATRICK",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Salem, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.