Joel Carroll, MD
Individual provider Active NPI Family Medicine Physician · Salem, WI
NPI 1962411090 · NPPES record last updated Dec 3, 2018
Key facts
- NPI
- 1962411090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 24302-20 (WI)
- Practice address
- 7322 236TH Ave
Salem, WI 53168-9664 - Phone
- (262) 577-8460
- Fax
- (262) 577-8399
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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
Froedtert South Inc
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
- Horizon Home Care and Hospice
- Hospice Alliance
- Froedtert South Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 69.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.44
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100609000413 | WI | Practitioner - Family Practice | 5294865853 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
|---|---|---|---|
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Froedtert South, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jcarroll342059@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 24302 | WI | |
| Family Medicine Physician | 207Q00000X | 24302-20 | WI | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30507800 | Medicaid | WI | |
| K400411276 | Other | WI | MEDICARE |
| F400411291 | Other | IL | MEDICARE (ILLINOIS) |
Other names
- Joel Patrick Carroll
Other providers in Salem, WI
- Alexander Brooks
- Gary Bruchman
- Kenneth Buettner
- James M Bury
- Peter Alfred John Capelli
- Central High School District of Westosha
- Children'S Medical Group
- Marianne Elizabeth Cole
- Michelle Cua
- Valentin Cuarto III
All providers in Salem, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.