DR. JOHN JOSEPH CARROLL M.D.
NPI 1558742999
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
1215 LEE STREET BOX 801016, CHARLOTTESVILLE, VA 22908(434) 924-2663 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2024, Aug 27, 2020, Aug 12, 2020 and 3 more (6 updates tracked since 2016).

About Dr. John Joseph Carroll M.d. NPPES

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

DR. JOHN JOSEPH CARROLL M.D. (NPI 1558742999) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0101281616) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of University Of Virginia School Of Medicine (2015).

NPPES Registry Identity

NPI1558742999
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOHN JOSEPH CARROLLCredential: M.D.
Location Address1215 LEE STREET BOX 801016Charlottesville, VA 22908-0001
Mailing Address1215 Lee Street Box 801016Charlottesville, VA 22908-0001 · (434) 924-2663
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2015
Enumeration DateJune 11, 2015
Last NPPES UpdateJuly 12, 20246 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
NPI 1558742999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in VA · 0101281616
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.
1215 LEE STREET BOX 801016, Charlottesville, VA 22908

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

Dr. John Joseph 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 ID1658668777
PECOS Enrollment IDI20251022004298
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1215 LEE STREET BOX 801016
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE STREET BOX 801016
CHARLOTTESVILLE, VA 22908
Plastic Surgery (Surgery of the Hand)
1215 LEE STREET BOX 801016
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE STREET BOX 801016
CHARLOTTESVILLE, VA 22908

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 Carroll's NPI number?

The NPI number for John Carroll is 1558742999. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is John Carroll located?

John Carroll practices at 1215 Lee Street Box 801016, Charlottesville, VA 22908. The listed phone number is (434) 924-2663.

What is John 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 John Carroll enrolled in Medicare?

Yes. John 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.

Is John Carroll affiliated with any hospitals?

According to CMS data, John Carroll is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for John Carroll was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.