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TANNON DAJUAN CARROLL MD NPI 1154484715


NPI Information

NPI: 1154484715
Provider Name: TANNON DAJUAN CARROLL, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
301 SETON PKWY
SUITE 302
ROUND ROCK, TX
ZIP 78665
Phone: (512) 324-4812
Get Directions

Tannon Dajuan Carroll, MD is an interventional cardiology internal medicine in Round Rock, TX with 19 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Tannon Dajuan Carroll, MD NPI is 1154484715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2005

The provider's business location address is:

301 SETON PKWY
SUITE 302
ROUND ROCK, TX
ZIP 78665-002
Phone: (512) 324-4812
Fax: (512) 324-4728

The NPI 1154484715 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Replacement of aortic valve with prosthetic valve, accessed through the skin (HCPCS:33361)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)

The enumeration date for this NPI number is 12/18/2006 and was last updated on 12/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseP7887TEXASNo
2207RI0011XInternal MedicineInterventional CardiologyP7887TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1322683YMGJMEDICARE PINTEXAS
2328854004MEDICAIDTEXAS
38ET191OTHERTEXASBCBS
48DZ199OTHERTEXASBCBS
5328854001MEDICAIDTEXAS
6328854003MEDICAIDTEXAS
7322683YRLZMEDICARE PINTEXAS
8322683YL9XMEDICARE PINTEXAS
9322683YTMTMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.