JOHN CARROLL MD
NPI 1104916774
Pediatrics - Pediatric Pulmonology in Little Rock, AR

Q: 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.

Q: What is John Carroll's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Q: When was this NPI record last updated?

The NPPES record for John Carroll was last updated on November 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 13, 2006PECOS Enrolled

1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100(501) 364-4082 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1104916774

Entity TypeIndividualMale

Primary Taxonomy2080P0214X

Provider Legal NameJOHN CARROLLCredential: MD

Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082

Phone(501) 364-1100

Fax(501) 364-4082

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateNovember 14, 2017

✔ NPI 1104916774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

License✔ Licensed in AR · E-2619

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

1 CHILDRENS WAY # 653, Little Rock, AR 72202

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Secondary Practice Location 1

Location 1800 Marshall St # 653Little Rock, AR 72202-3510 · Phone (501) 364-1100

Other Identifiers 3

Medicare PIN5L506

Medicaid140723001AR

Medicare UPINE45609

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Carroll Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Oropharyngeal suction catheter, each A4628

DME-Other DME · category DE000N

1 supplier12 claims17 services$3.62 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

1 supplier12 claims12 services$7.77 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

1 supplier12 claims12 services$3.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$20.37 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier22 claims22 services$114.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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