Robert Louis Coray, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M7679 Issued in ID

Practice address

859 S Yellowstone Hwy Ste 3301
Rexburg, ID 83440-6200

Phone

(208) 356-9086

Fax

(208) 369-4498

NPI assigned

Aug 31, 2006

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Peripheral Vascular Disease, Thoracic Surgery, Vascular Surgery

Education

University of Utah School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minidoka Memorial HospitalGroup PAC ID 7315908894, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Minidoka Memorial Hospital Hospital, Rupert, ID, CCN 131319
• Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcoray637628@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minidoka Memorial Hospital

  • Critical Access Hospital
  • Rupert, ID
  • NPI 1679553531
  Medicare reassignment Care Compare group NPD
• BMH, Inc.

  dba Bingham Memorial Physicians & Surgeons Center

  • Surgery Physician
  • Blackfoot, ID
  • NPI 1255539193
  Medicare reassignment NPD
• Teton Valley Health Care Inc

  dba Driggs Clinic

  • Rural Health Clinic/Center
  • Driggs, ID
  • NPI 1013264183

  Surgery

  Medicare reassignment NPD
• Robert L Coray MD, PLLC

  • Surgery Physician
  • Rexburg, ID
  • NPI 1174959266
  Authorized official Same address or phone
• BMH, Inc.

  dba Bingham Healthcare Specialty Clinic - Vista

  • Interventional Pain Medicine Physician
  • Pocatello, ID
  • NPI 1245779412
  NPD
• BMH, Inc.

  dba 1st Choice Urgent Care & Medical Center-Chubbuck

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1295502995
  NPD
• Teton Valley Health Care, Inc

  dba Teton Valley Health Care Swing Bed Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Driggs, ID
  • NPI 1053669598
  NPD
• Teton Valley Health Care, Inc

  dba Victor Clinic

  • Rural Health Clinic/Center
  • Victor, ID
  • NPI 1801143029

  Surgery

  NPD
• June E Heilman MD PA

  • Surgery Physician
  • Pocatello, ID
  • NPI 1386960821
  NPD (past)
• Minidoka Memorial Hospital

  • Emergency Care Clinic/Center
  • Rupert, ID
  • NPI 1134333495

  Surgery

  NPD (past)
• St Luke's Magic Valley Regional Medical Center LTD

  dba St Lukes Retail Pharmacy Twin Falls

  • Community/Retail Pharmacy
  • Twin Falls, ID
  • NPI 1760203921
  NPD (past)
• Womens Wellness PLLC

  dba Holly A. Dickson, MD

  • Obstetrics & Gynecology Physician
  • Enumclaw, WA
  • NPI 1801316179
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Madison Co Memorial Hospital

  dba Seasons Medical By Madison Memorial

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1073154266

  Hospital

  Care Compare affiliation
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570
  Care Compare affiliation
• Minidoka Memorial Hospital

  • Critical Access Hospital
  • Rupert, ID
  • NPI 1679553531
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1104938182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 S YELLOWSTONE HWY STE 3301",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406200",
            "telephone_number": "208-356-9086",
            "fax_number": "208-369-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 S YELLOWSTONE HWY STE 3301",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406200",
            "telephone_number": "208-356-9086",
            "fax_number": "208-369-4498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 8th St",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833501527",
            "country_code": "US",
            "telephone_number": "208-436-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORAY",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M7679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Family Care PLLC
• Connect With Love LLC
• Tammy Sue Conrad, MOTR/L
• Jessica Porter Cook
• Sierra Coombs
• Bradley S Cordero, DPT
• Grant Guy Cordner, DMD
• Core Connection
• Cornerstone Caregiving West LLC
• Cornerstone Family Dental PLLC

• Surgery Physician in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.