VICTORIA CARROLL (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1942884614

VICTORIA CARROLL (DPM) is a healthcare provider. based in Detroit, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901400516 (MI). The NPI Number for VICTORIA CARROLL (DPM) is 1942884614

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA CARROLL (DPM)
NPI
1942884614
Phone
(813) 215-6000
Address
4201 Saint Antoine St # 9C
Enumeration Date
10 May 2021
Last Update Date
29 October 2024

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7349751700
Graduation Year
2021 (5 years ago)
PAC ID
4688073026
Group Practice PAC ID
4183707631
Professional Enrollment ID
I20240508002728
Address ID
MI481082090AN3768XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for VICTORIA CARROLL (DPM)

  • 4201 Saint Antoine St # 9C

    Detroit, MI 482012153

    Phone: (813) 215-6000

    Type: Location

  • 3768 Packard St Ste A

    Ann Arbor, MI 481082090

    Phone: (734) 975-1700

    Fax: (734) 975-1711

    Type: Location

  • 4201 SAINT ANTOINE ST # 9C

    DETROIT, MI 482012153

    Phone:

    Type: Mailing

  • 6080 DIXIE HWY STE C

    CLARKSTON, MI 483463493

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $276.

Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Stryker Corporation ($165).

Total Amount

$276

General + Research + Ownership

Payments

2

Total payment records

General Amount

$276

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$165
ACUMED LLC$111
View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240508002728IPodiatryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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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: 4183707631View full group profile
NameSpecialtyState
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI

Reviews

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Frequently asked questions

Can I verify VICTORIA CARROLL (DPM) with an NPI only?
You can start verification with NPI 1942884614 for VICTORIA CARROLL (DPM), then check state licensing separately.
Can I rely on VICTORIA CARROLL (DPM) being an active provider?
As of the registry snapshot, VICTORIA CARROLL (DPM) is marked active.
What taxonomy line describes VICTORIA CARROLL (DPM)?
For research purposes, treat VICTORIA CARROLL (DPM) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for VICTORIA CARROLL (DPM)?
VICTORIA CARROLL (DPM)'s geographic hint is Detroit, Michigan in our summary view.
Is the information about VICTORIA CARROLL (DPM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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