Rory Santiago Carroll, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

R-10886 Issued in IA

Practice address

200 Hawkins Dr
Dept of Surgery
Iowa City, IA 52242-1009

Phone

(319) 356-2902

Fax

(319) 356-8682

NPI assigned

Jun 8, 2017

Last updated

Jun 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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 CO

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 Surgery

Education

University of Maryland School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Grand Junction, CO, CCN 060054

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Medical Group, LLC

  dba Internal Medicine Associates of the Grand Valley

  • Internal Medicine Physician
  • Grand Junction, CO
  • NPI 1043640634
  Medicare reassignment Care Compare group NPD
• Colorado West Healthcare System

  dba Community Hospital

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  Medicare reassignment NPD
• Colorado West Healthcare System

  dba Canyon View Plastic Surgery

  • Plastic Surgery Physician
  • Grand Junction, CO
  • NPI 1205239555
  NPD
• Colorado West Healthcare System

  dba Grand Valley Oncology

  • Specialist
  • Grand Junction, CO
  • NPI 1811398324
  NPD
• Community Medical Group, LLC

  dba Grand Valley Primary Care III

  • Family Medicine Physician
  • Grand JCT, CO
  • NPI 1114564952
  NPD
• Community Medical Group, LLC

  dba Western Colorado Bone Health

  • Specialist
  • Grand Junction, CO
  • NPI 1720736937
  NPD
• Community Medical Group, LLC

  dba Grand Valley Cardiology

  • Specialist
  • Grand JCT, CO
  • NPI 1265079545
  NPD (past)

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

• Colorado West Healthcare System

  dba Community Hospital

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  Care Compare affiliation

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1497284905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF SURGERY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF SURGERY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-2902",
            "fax_number": "319-356-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "RORY",
        "middle_name": "SANTIAGO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "R-10886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Lynne Carr, M.S.W, LISW
• Elisabeth Carroll
• John Brandon Carroll, D.D.S.
• Nichole Carroll, ARNP
• Rachael Lauren Carroll, AUD
• Ashley Nicole Carron, PHARMD
• Coby J Carstens, PHARMD
• Cartaya Clinic in Humanistic and Behavioral Psychology, PLLC (Lumina Psychology & Consulting, PLLC)
• Jammie S Carter
• Keith D Carter, MD

• Surgery Physician in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.