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Deactivated NPI 1144216748 Deactivated / Inactive NPI Male Practitioner

Dr. Mitchell Carroll , MD

Surgery • Dorchester Center, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mitchell Carroll has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2005
NPI Deactivation Date November 13, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Carroll, MD was a registered Surgery practicing in Dorchester Center, MA. Throughout an active medical career spanning 13 years, Dr. Carroll provided care at the practice location at 2100 DORCHESTER AVE until profile deactivation on 2018-11-13.

Practice Location & Contact Primary Location

Practice Address

2100 Dorchester Ave

Dorchester Center, MA 021245615

Telephone 6172964000
Fax 6172082517
Associated Practice Facility / Clinic
🏢 Mass Bay Urologic Assoc Facility NPI 1730189341

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dorchester Center, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 44.0 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Dorchester Center, MA (1077 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 25820

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Wajid Memon , MD

Student in an Organized Health Care Education/Training Program

NPI 1023756822

Doctor of Medicine (M.D.)

Dr. Breckon Pav , MD

Emergency Medicine

NPI 1033431358

Doctor of Medicine (M.D.)

Dr. Donna Springs , MD

Emergency Medicine

NPI 1043206501

Doctor of Medicine (M.D.)

Dr. Mustafa Syed , MD

Psychiatry & Neurology - Psychiatry

NPI 1043317845

Doctor of Medicine (M.D.)

Dr. Timothy Becker , MD

Student in an Organized Health Care Education/Training Program

NPI 1063263382

Doctor of Medicine (M.D.)

NPI 1063493211

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2018

Record deactivated on November 13, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2100 DORCHESTER AVE, DORCHESTER CENTER, MA 021245615 (Tel: 6172964000)

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Updated Business Mailing Address July 08, 2007

Registered at 2100 DORCHESTER AVE, DORCHESTER CENTER, MA 021245615 (Tel: 6172964000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MITCHELL CARROLL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #25820 in MA)

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Initial NPI Registration & Enumeration September 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144216748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2005
Last Update: July 08, 2007
Deactivation Date: November 13, 2018

Mailing Address

2100 Dorchester Ave

Dorchester Center, MA 021245615

Phone: 6172964000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.