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FIONA G CARROLL M.D.
NPI 1578637815
Pediatrics in Detroit, MI

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
15400 W MCNICHOLS RD, DETROIT, MI 48235(313) 416-6262(855) 643-6164 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2026, Jan 2, 2026, Dec 15, 2025 and 1 more (4 updates tracked since 2019).

About Fiona G Carroll M.d. NPPES

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

FIONA G CARROLL M.D. (NPI 1578637815) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4301088192) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1999).

NPPES Registry Identity

NPI1578637815
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameFIONA G CARROLLCredential: M.D.
Location Address15400 W MCNICHOLS RDDetroit, MI 48235-3724
Mailing Address6667 Orchard Lake RdWest Bloomfield, MI 48322-3404 · (248) 206-8950 · Fax (248) 206-8951
Phone(313) 416-6262
Fax(855) 643-6164
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1999
Enumeration DateNovember 20, 2006
Last NPPES UpdateMarch 17, 20264 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1578637815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301088192
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
15400 W MCNICHOLS RD, Detroit, MI 48235
Open in Google Maps ↗

Other Names 1

Former Name (1)Fiona G Rubenstein Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fiona G 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 ID1355676693
PECOS Enrollment IDI20190710000090
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 Billing Reassignments

2

Medicare enrollment records show Fiona Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Detroit Health Care For The Homeless
Same address
Federally Qualified Health Center (FQHC)
15400 W MCNICHOLS RD
Detroit, MI 48235
  • Reassigned Medicare billing, Michigan enrollment
  • 20 clinicians in this Medicare group
NPI 1871645309 (313) 835-5990
Sciometrix LLC
5.8 mi
General Practice
306 S WASHINGTON AVE STE 600
Royal Oak, MI 48067
  • Reassigned Medicare billing, Michigan enrollment
  • 97 clinicians in this Medicare group
NPI 1619649894 (860) 335-5064

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DETROIT HEALTH CARE FOR THE HOMELESS
Clinic/Center (Dental)
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 416-6262
DETROIT HEALTH CARE FOR THE HOMELESS
Clinic/Center (Federally Qualified Health Center (FQHC))
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 835-5990
ROSEMARIE KAURALA MSN CNM
Advanced Practice Midwife
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 416-6262
ANTHONY WALKER LPN
Licensed Practical Nurse
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 433-7167
HEBA HAMADEH PHARM.D.
Pharmacist
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 416-6262
DETROIT HEALTH CARE FOR THE HOMELESS
Pharmacy (Clinic Pharmacy)
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 835-5990
DETROIT HEALTH CARE FOR THE HOMELESS
Clinic/Center (Federally Qualified Health Center (FQHC))
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 835-5990
CLIFFORD N OWHOR PA-C
Physician Assistant (Medical)
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (131) 416-6262

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 Fiona Carroll's NPI number?

The NPI number for Fiona Carroll is 1578637815. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Fiona G Rubenstein MD.

Where is Fiona Carroll located?

Fiona Carroll practices at 15400 W Mcnichols Rd, Detroit, MI 48235. The listed phone number is (313) 416-6262.

What is Fiona Carroll's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Fiona Carroll enrolled in Medicare?

Yes. Fiona 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.

Which organizations bill Medicare for Fiona Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fiona Carroll reassigns Medicare benefits to 2 organizations: Detroit Health Care For The Homeless (Detroit, MI) and Sciometrix LLC (Royal Oak, MI). 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 Fiona Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fiona Carroll accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Fiona 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 Fiona Carroll was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.