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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801327622

Justin James Carroll, MD is an Emergency Medicine in Fort Worth, Texas. Qualified in 2017, 9 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
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

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-1173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13000 E 136th St, Fishers, IN 46037-9478 — (317) 678-2273

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01083830A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801327622
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address1500 S Main St, Fort Worth, TX 76104-4917

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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