JOHN CARROLL MD
NPI 1104916774
Pediatrics - Pediatric Pulmonology in Little Rock, AR
About John Carroll Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN CARROLL MD (NPI 1104916774) is an individual pediatric pulmonology provider in Little Rock, Arkansas, licensed in Arkansas (E-2619) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Carroll Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- Also billed through NPI 1467528026 (Arkansas)
- 1,246 clinicians in this Medicare group
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- 944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72202
LITTLE ROCK, AR 72202
LITTLE ROCK, AR 72202
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Carroll's NPI number?
The NPI number for John Carroll is 1104916774. It was assigned to this individual provider in the NPPES registry on October 13, 2006.
Where is John Carroll located?
John Carroll practices at 1 Childrens Way # 653, Little Rock, AR 72202. The listed phone number is (501) 364-1100.
What is John Carroll's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.
Is John Carroll enrolled in Medicare?
Yes. John Carroll is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Carroll reassigns Medicare benefits to 2 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR) and Arkansas Childrens Hospital (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Carroll accept?
Health plans from Health Advantage and Octave list John Carroll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Carroll was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John Carroll, MD · NPI 1104916774
Pediatric Pulmonology physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1104916774 (Entity type: Individual)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Pediatrics - Pediatric Pulmonology · taxonomy 2080P0214X
- **State license:** E-2619 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CHILDRENS WAY # 653, Little Rock, AR 72202-3500
- **Phone:** (501) 364-1100 · **Fax:** (501) 364-4082
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Sciences (NPI 1114255353, Little Rock, AR); Arkansas Childrens Hospital (NPI 1598773079, Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2017
- **Other identifiers:** Medicare PIN 5L506; Medicaid 140723001 (AR); Medicare UPIN E45609
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Source: [NPI Profile](https://npiprofile.com/npi/1104916774) · Data from the CMS NPPES public registry.