JOHN T. CARROLL, DPM PC
NPI 1114100989
Podiatrist - Foot Surgery in Old Saybrook, CT
About John T. Carroll, Dpm Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN T. CARROLL, DPM PC (NPI 1114100989) is a healthcare organization registered as a foot surgery in Old Saybrook, Connecticut and active in the NPI registry since December 2007. The organization lists John T Carroll, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John T. Carroll, Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to John T. Carroll, DPM PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 T. Carroll, Dpm PC's NPI number?
The NPI number for John T. Carroll, Dpm PC is 1114100989. It was assigned to this organization in the NPPES registry on December 14, 2007.
Where is John T. Carroll, Dpm PC located?
John T. Carroll, Dpm PC is located at 455 Boston Post Rd, Unit #8, Old Saybrook, CT 06475. The listed phone number is (860) 510-0502.
What is John T. Carroll, Dpm PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is John T. Carroll, Dpm PC enrolled in Medicare?
Yes. John T. Carroll, Dpm PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John T. Carroll, Dpm PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to John T. Carroll, Dpm PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for John T. Carroll, Dpm PC was last updated on January 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 T. Carroll, Dpm Pc · NPI 1114100989
Foot Surgery organization in Old Saybrook, Connecticut. Organization record, active in the CMS NPPES registry since December 14, 2007.
## Identity
- **NPI:** 1114100989 (Entity type: Organization)
- **Enumerated:** December 14, 2007
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** John Carroll, PRESIDENT
## Practice location
- **Address:** 455 BOSTON POST RD, UNIT #8, Old Saybrook, CT 06475-1554
- **Phone:** (860) 510-0502 · **Fax:** (860) 510-0551
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2016
- **Other identifiers:** Other 008063266 (CT); Medicaid 008059379 (CT); Medicare PIN D100032362 (CT); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1114100989) · Data from the CMS NPPES public registry.