JAMES M CARROLL MD
NPI 1295713006
Emergency Medicine in Newark, DE
About James M Carroll Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES M CARROLL MD (NPI 1295713006) is an individual emergency medicine provider in Newark, Delaware, licensed in Delaware (C10007450) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
James M Carroll Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show James Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, DE 19718
- Reassigned Medicare billing, Delaware enrollment
- 167 clinicians in this Medicare group
Newark, DE 19718
- Reassigned Medicare billing, Delaware enrollment
- Also billed through NPI 1245674993 (Delaware)
- 1,531 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEWARK, DE 19718
NEWARK, DE 19718
NEWARK, DE 19718
NEWARK, DE 19718
NEWARK, DE 19718
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 James Carroll's NPI number?
The NPI number for James Carroll is 1295713006. It was assigned to this individual provider in the NPPES registry on January 3, 2006.
Where is James Carroll located?
James Carroll practices at 4755 Ogletown Stanton Rd, Newark, DE 19718. The listed phone number is (302) 733-1000.
What is James Carroll's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is James Carroll enrolled in Medicare?
Yes. James Carroll is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for James Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Carroll reassigns Medicare benefits to 2 organizations: Christiana Care Emergency Physicians LLC (Newark, DE) and Christiana Care Health Services, Inc (Newark, DE). 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 James Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Carroll accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list James 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 James Carroll was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# James M Carroll, MD · NPI 1295713006
Emergency Medicine physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since January 3, 2006.
## Identity
- **NPI:** 1295713006 (Entity type: Individual)
- **Enumerated:** January 3, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** C10007450 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 4755 OGLETOWN STANTON RD, Newark, DE 19718
- **Phone:** (302) 733-1000 · **Fax:** (302) 733-1633
## 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): Christiana Care Emergency Physicians LLC (NPI 1639956451, Newark, DE); Christiana Care Health Services, Inc (NPI 1104896596, Newark, DE) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 1000034839 (DE)
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Source: [NPI Profile](https://npiprofile.com/npi/1295713006) · Data from the CMS NPPES public registry.