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

Sex

Male

Sole proprietor

Yes

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

• Minidoka Memorial Hospital

  • Critical Access Hospital
  • Rupert, ID
  • NPI 1679553531

  ID

  Medicare reassignment Care Compare group NPD
• BMH, Inc.

  • Surgery Physician
  • Blackfoot, ID
  • NPI 1255539193

  ID, Surgery

  Medicare reassignment NPD
• Teton Valley Health Care Inc

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

  ID, Surgery

  Medicare reassignment NPD
• Minidoka Memorial Hospital

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

  Surgery

  Care Compare group NPD (past)
• Minidoka Memorial Hospital

  • Skilled Nursing Facility
  • Rupert, ID
  • NPI 1023052040
  Care Compare group
• Minidoka Memorial Hospital

  • Rural Health Clinic/Center
  • Rupert, ID
  • NPI 1043387426
  Care Compare group
• BMH, Inc.

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

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

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

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

  Surgery

  NPD
• June E Heilman MD PA

  • Surgery Physician
  • Pocatello, ID
  • NPI 1386960821

  Surgery

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

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

  • 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

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

  Hospital

  Care Compare affiliation
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570

  Hospital

  Care Compare affiliation
• Minidoka Memorial Hospital

  • Critical Access Hospital
  • Rupert, ID
  • NPI 1679553531

  Hospital

  Care Compare affiliation

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 Hospital 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 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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2024.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805495900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jessica Porter Cook
• Sierra Coombs
• Bradley S Cordero, DPT
• Grant Guy Cordner, DMD
• Core Connection
• Cornerstone Caregiving West LLC
• Cornerstone Family Dental PLLC

• All providers in Rexburg, ID
• 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.