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

Michael David Carroll, MD

Individual provider Diagnostic Radiology Physician · NPI 1639306566

Michael David Carroll, MD is a Diagnostic Radiology in Boise, Idaho. Graduated from Chicago College of Medicine and Surgery in 2009, 17 years ago. Practices with Boise Radiology Group PLLC, a 63-clinician group and accepts Medicare assignment. Licensed in Idaho and Illinois.

Years since qualifying
17
Trained at
Chicago College of Medicine and Surgery
Licensed in
ID, IL
In the registry since
2009
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

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2094
Fax: (208) 381-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M-12823 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 125.056520 (IL)

Record details

NPI number1639306566
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2009
Last updated in NPPESJanuary 10, 2018
Mailing addressPo Box 1108, Corvallis, OR 97339-1108

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated 2009 (17 years in practice)
Group practice Boise Radiology Group Pllc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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