DR. KIM CARROLL D.P.M.
NPI 1902893720
Podiatrist - Foot & Ankle Surgery in Corpus Christi, TX

Q: What is Kim Carroll's NPI number?

The NPI number for Kim Carroll is 1902893720. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Q: What is Kim Carroll's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Kim Carroll was last updated on September 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 06, 2005PECOS Enrolled

205 S ENTERPRIZE PKWY, CORPUS CHRISTI, TX 78405(361) 939-6510(361) 939-6511 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Kim Carroll D.p.m. NPPES

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

DR. KIM CARROLL D.P.M. (NPI 1902893720) is an individual foot & ankle surgery provider in Corpus Christi, Texas, licensed in North Carolina (498) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902893720

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameDR. KIM CARROLLCredential: D.P.M.

Location Address205 S ENTERPRIZE PKWYCorpus Christi, TX 78405-4118

Mailing Address205 S Enterprize PkwyCorpus Christi, TX 78405-4118 · (361) 939-6510 · Fax (361) 939-6511

Phone(361) 939-6510

Fax(361) 939-6511

Sole ProprietorNo

Enumeration DateOctober 6, 2005

Last NPPES UpdateSeptember 10, 2015

✔ NPI 1902893720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NC · 498

205 S ENTERPRIZE PKWY, Corpus Christi, TX 78405

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Other Identifiers 5

OtherP00634269NC · Railroad Medicare

Medicare UPINV07477

Medicaid5902315NC

Medicare PIN2430003NC

Other081A1NC · Bcbs Of Nc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim Carroll D.p.m. 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.

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