Individual provider Active NPI

Sarah Rossmiller Carroll, M.D.

  • Otolaryngology Physician
  • Glendale, CA
National Provider Identifier
1962608281
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A117013 Issued in CA
Practice address
1505 Wilson Ter
Suite 270
Glendale, CA 91206-4071
Phone
(818) 241-2101
Fax
(818) 241-2166
NPI assigned
Jun 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A117013 CA Primary

Addresses

Primary practice location

1505 Wilson Ter
Suite 270
Glendale, CA 91206-4071

Mailing address

1505 Wilson Ter
Suite 270
Glendale, CA 91206-4071
Phone (818) 241-2101

Other practice location 1

3907 Waring Rd Ste 1
Oceanside, CA 92056-4454
Phone (760) 724-8749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130103000452 CA Practitioner - Otolaryngology 1052564887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Southern California Keck School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Associates Medical GroupGroup PAC ID 0547279523, 3 clinicians

Practice addresses (Care Compare)

3907 Waring Rd
Suite 1
Oceanside, CA 92056-4405
Phone (760) 724-8749

Hospital & facility affiliations

  • Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117013CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Surgical Associates Otolaryngology CurrentSince Nov 10, 2012 Accepting new patients
ENT Associates Medical Group Otolaryngology CurrentSince Mar 1, 2021 Accepting new patients
Palomar Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Tri-City Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

1505 Wilson Ter
Ste 270
Glendale, CA 91206
Phone (818) 241-2101

3907 Waring Rd
Ste 1
Oceanside, CA 92056
Phone (760) 724-8749

50 Alessandro Pl
Ste 220
Pasadena, CA 91105
Phone (626) 577-5550

50 Alessandro Pl
Ste 230
Pasadena, CA 91105
Phone (626) 577-5550

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sarahcarroll@entaca.allscriptsdirect.net

Organizations & group practices 9

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 1

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": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1962608281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER",
            "address_2": "SUITE 270",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064071",
            "telephone_number": "818-241-2101",
            "fax_number": "818-241-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER",
            "address_2": "SUITE 270",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064071",
            "telephone_number": "818-241-2101",
            "fax_number": "818-241-2166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3907 Waring Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564454",
            "country_code": "US",
            "telephone_number": "760-724-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "SARAH",
        "middle_name": "ROSSMILLER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-23",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A117013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.