Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Chase Mitchell Carroll, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376957878

Dr. Chase Mitchell Carroll, MD is a Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1481 W 10th St # C-7033
Indianapolis, IN 46202-2803
Phone: (765) 617-9387
Fax: (317) 988-5648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01079481A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 11017789A (IN)

Record details

NPI number1376957878
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2014
Last updated in NPPESJanuary 4, 2021
Certification dateJanuary 4, 2021

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