TIMOTHY FIELD CARROLL – Student in an Organized Health Care Education/Training Program, NPI 1528694767

TIMOTHY FIELD CARROLL is a healthcare provider. based in Dallas, Texas. specializing in UROLOGY. The NPI Number for TIMOTHY FIELD CARROLL is 1528694767

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY FIELD CARROLL
NPI
1528694767
Phone
(501) 545-7355
Address
3435 DICKASON AVE APT 2616
Enumeration Date
19 March 2020
Last Update Date
19 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9726128037110
Graduation Year
2020 (6 years ago)
PAC ID
1052735388
Group Practice PAC ID
5395710933
Professional Enrollment ID
I20250826003514
Address ID
TX750934861PL5300XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

861 UROLOGY in TX

Provider Addresses for TIMOTHY FIELD CARROLL

  • 3435 DICKASON AVE APT 2616

    DALLAS, TX 752194987

    Phone: (501) 545-7355

    Type: Mailing

  • 1542 Tulane Ave Rm 534

    New Orleans, LA 701122865

    Phone: (501) 545-7355

    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: 2025-08-26

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
I20250826003514IUrologyTXTBD

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 75219)

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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: 5395710933View full group profile

Reviews

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Frequently asked questions

Can I verify TIMOTHY FIELD CARROLL with an NPI only?
You can start verification with NPI 1528694767 for TIMOTHY FIELD CARROLL, then check state licensing separately.
Is TIMOTHY FIELD CARROLL still practicing?
TIMOTHY FIELD CARROLL is currently listed as active in the public NPI registry.
What is TIMOTHY FIELD CARROLL's primary classification?
Student in an Organized Health Care Education/Training Program is the headline specialty for TIMOTHY FIELD CARROLL here. Clinical services aligned with this taxonomy classification.
Where is TIMOTHY FIELD CARROLL based?
TIMOTHY FIELD CARROLL is tied to Dallas, Texas in the data we show; additional addresses may exist on the full record.
Is the information about TIMOTHY FIELD CARROLL up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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