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DR. THOMAS CARROLL II MD
NPI 1164166096
Student in an Organized Health Care Education/Training Program in Omaha, NE

Active since April 26, 2022PECOS Enrolled
2929 CALIFORNIA PLZ APT 7110, OMAHA, NE 68131(309) 635-6659 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Thomas Carroll Ii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS CARROLL II MD (NPI 1164166096) is an individual student in an organized health care education/training program in Omaha, Nebraska and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164166096
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. THOMAS CARROLL IICredential: MD
Location Address2929 CALIFORNIA PLZ APT 7110Omaha, NE 68131-1586
Mailing Address2929 California Plz Apt 7110Omaha, NE 68131-1586
Phone(309) 635-6659
Sole ProprietorNo
Enumeration DateApril 26, 2022
NPPES CertifiedApril 26, 2022
✔ NPI 1164166096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2929 CALIFORNIA PLZ APT 7110, Omaha, NE 68131
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Carroll Ii 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.

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 Thomas Carroll's NPI number?

The NPI number for Thomas Carroll is 1164166096. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Thomas Carroll located?

Thomas Carroll practices at 2929 California Plz Apt 7110, Omaha, NE 68131. The listed phone number is (309) 635-6659.

What is Thomas Carroll's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Thomas Carroll enrolled in Medicare?

Yes. Thomas Carroll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Carroll was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.