SHEILA J. CARROLL M.D.
NPI 1528095791
Pediatrics - Pediatric Cardiology in New York, NY

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
525 E 68TH ST, NEW YORK, NY 10021(212) 746-3558(212) 746-5798 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sheila J. Carroll M.d. NPPES

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

SHEILA J. CARROLL M.D. (NPI 1528095791) is an individual pediatric cardiology provider in New York, New York, licensed in New York (227046) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1999).

NPPES Registry Identity

NPI1528095791
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameSHEILA J. CARROLLCredential: M.D.
Location Address525 E 68TH STNew York, NY 10021-4870
Mailing Address575 Lexington Ave, Suite 500New York, NY 10022-6102 · (212) 590-5152 · Fax (212) 590-5798
Fax(212) 746-5798
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1999
Enumeration DateJune 26, 2006
Last NPPES UpdateSeptember 21, 2011
NPI 1528095791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in NY · 227046
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 227046 (NY)
525 E 68TH ST, New York, NY 10021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sheila J. Carroll M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779587472
PECOS Enrollment IDI20060912000314
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Registered Nurse
525 E 68TH ST
NEW YORK, NY 10021
Nutritionist
525 E 68TH ST, GREENBERG PAVILION RM 10-171
NEW YORK, NY 10021
Radiology (Radiation Oncology)
525 E 68TH ST, N046
NEW YORK, NY 10021
Nurse Practitioner (Neonatal)
525 E 68TH ST, NYPH
NEW YORK, NY 10021
Occupational Therapist
525 E 68TH ST, NEW YORK PRESBYTERIAN HOSPITAL AT CORNELL
NEW YORK, NY 10021
Anesthesiology
525 E 68TH ST
NEW YORK, NY 10021
Anesthesiology
525 E 68TH ST
NEW YORK, NY 10021
Emergency Medicine
525 E 68TH ST
NEW YORK, NY 10021

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 Sheila Carroll's NPI number?

The NPI number for Sheila Carroll is 1528095791. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Sheila Carroll located?

Sheila Carroll practices at 525 E 68th St, New York, NY 10021. The listed phone number is (212) 746-3558.

What is Sheila Carroll's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Sheila Carroll enrolled in Medicare?

Yes. Sheila Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sheila Carroll was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.