RYAN CARROLL
NPI 1750743613
Pediatrics in Chicago, IL

Q: What is Ryan Carroll's NPI number?

The NPI number for Ryan Carroll is 1750743613. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Ryan Carroll's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Carroll was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 22, 2016PECOS Enrolled

1460 N HALSTED ST STE 402, CHICAGO, IL 60642(312) 227-2800 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2020, Jul 8, 2020, Jun 17, 2017 and 1 more (4 updates tracked since 2016).

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About Ryan Carroll NPPES

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

RYAN CARROLL (NPI 1750743613) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036148259) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1750743613

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameRYAN CARROLL

Location Address1460 N HALSTED ST STE 402Chicago, IL 60642-2607

Mailing Address1460 N Halsted St Ste 402Chicago, IL 60642-2607

Phone(312) 227-2800

Sole ProprietorNo

Enumeration DateMarch 22, 2016

Last NPPES UpdateSeptember 25, 20204 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2020

✔ NPI 1750743613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036148259

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.

1460 N HALSTED ST STE 402, Chicago, IL 60642

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Secondary Practice Location 1

Location 1225 E Chicago AveChicago, IL 60611-2991 · Phone (312) 227-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Carroll 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60642 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 11

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

LINDSEY D VISVARDIS DNP, CPNP

Nurse Practitioner (Pediatrics)