ELAINE M. CARROLL MD – NPI #1598739492
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

ELAINE CARROLL is a physician located in PONTIAC, IL. NPPES has assigned the NPI number 1598739492 to ELAINE CARROLL on February 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 4 years ago on Apr 20, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELAINE CARROLL below.

NPI Profile for
ELAINE M. CARROLL

NPI Number
1598739492
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ELAINE M. CARROLL
Credentials
MD
Primary location
1508 W REYNOLDS ST
PONTIAC, IL 61764-2811
Phone: (815) 844-4611 Fax:
2 Other location(s):
11123 Parkview Plaza Dr
Ste 203
Fort Wayne, IN 46845-1707
Phone: (260) 266-8380
Fax: (260) 266-8385
100 Navarre Pl Ste 4410
South Bend, IN 46601
Phone: (574) 647-1650
Fax: (574) 647-1655
Mailing address
611 W PARK ST
URBANA, IL 61801-2529
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ELAINE CARROLL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERMEDICARE PTANIN181980007
OTHERMEDICARE PTAN (GROUP)IL206147
OTHERMEDICARE PTAN (INDIVIDUAL)IL206147098
MEDICAIDIL036085505
MEDICAIDIN200265610
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
IL 36085505
207VM0101X
- Obstetrics & Gynecology / Maternal & Fetal Medicine
IN 01076901A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.