DR. RONALD KEVIN CARROLL (DO) – Emergency Medicine Physician, NPI 1215129515

DR. RONALD KEVIN CARROLL (DO) is a healthcare provider. based in Canton, Michigan. specializing in EMERGENCY MEDICINE, HOSPITALIST. They hold the professional credentials DO. They hold a License No. 2116 (TN). The NPI Number for DR. RONALD KEVIN CARROLL (DO) is 1215129515

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONALD KEVIN CARROLL (DO)
NPI
1215129515
Phone
(865) 776-5333
Address
197 LAUREL LN
Enumeration Date
10 August 2007
Last Update Date
17 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4238441121
Graduation Year
2006 (20 years ago)
PAC ID
5193862357
Group Practice PAC ID
3678859477
Professional Enrollment ID
I20100823000727
Address ID
TN376207430BR1XXXXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:18State licenses:3Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. RONALD KEVIN CARROLL (DO)

  • Laurel Lane, Canton, Norfolk County, Massachusetts, 02368, United States

    CANTON, MI 481874591

    Phone: (865) 776-5333

    Type: Mailing

  • Inkster Road, Garden City, Wayne County, Michigan, 48134, United States

    GARDEN CITY, MI 481354001

    Phone: (734) 458-4486

    Fax: (734) 458-4496

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100823000727IEmergency MedicineTNTBD
I20120109000071IEmergency MedicineVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making3636$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1818$0
99284Emergency department visit with moderate level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 48187)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678859477View full group profile

Reviews

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Frequently asked questions

Does DR. RONALD KEVIN CARROLL (DO) have a public NPI I can cite?
Public records show DR. RONALD KEVIN CARROLL (DO) under NPI 1215129515.
Quick check: is DR. RONALD KEVIN CARROLL (DO) active?
Public NPPES data shows DR. RONALD KEVIN CARROLL (DO) with an active NPI status right now.
Which specialty label fits DR. RONALD KEVIN CARROLL (DO)?
NPPES ties DR. RONALD KEVIN CARROLL (DO) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. RONALD KEVIN CARROLL (DO)?
The directory associates DR. RONALD KEVIN CARROLL (DO) with Canton, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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