Rafe C Connors, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

5414427-1205 Issued in UT

Practice address

1160 E 3900 S Ste 3500
Salt Lake City, UT 84124-1264

Phone

(801) 476-6900

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT, OR2 enrollments

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 2

Specialty

Thoracic SurgeryAlso: Cardiac Surgery

Education

University of Utah School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountainstar Cardiovascular Services LLCGroup PAC ID 1951404110, 14 clinicians

Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• True North Home Health Home health agency, South Salt Lake, UT, CCN 467224
• St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047
• Lakeview Hospital Hospital, Bountiful, UT, CCN 460042
• Salem Hospital Hospital, Salem, OR, CCN 380051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Mountainstar Cardiovascular Services LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Salt Lake City, UT
  • NPI 1689721219
  Medicare reassignment Care Compare group NPD
• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment NPD
• Ihc Health Services Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Provo, UT
  • NPI 1649304445
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Salem Health

  • Durable Medical Equipment & Medical Supplies
  • Keizer, OR
  • NPI 1487434775
  NPD
• Salem Health

  • Family Medicine Physician
  • Woodburn, OR
  • NPI 1578112066
  NPD
• Ihc Health Services Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1306888722

  Surgery

  NPD (past)
• Ihc Health Services Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ogden, UT
  • NPI 1962547695
  NPD (past)
• Mountainstar Cardiology St Marks LLC

  • Interventional Cardiology Physician
  • Salt Lake City, UT
  • NPI 1437446168
  NPD (past)
• Missouri Baptist Physician Services LLC

  • Medical Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1245310291
  NPD (past)

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

• Hospital Corporation of Utah

  • General Acute Care Hospital
  • Bountiful, UT
  • NPI 1528010451
  Care Compare affiliation
• Northern Utah Healthcare Corporation

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1164469243
  Care Compare affiliation
• True North Home Health and Hospice LLC

  • Home Health Agency
  • South Salt Lake, UT
  • NPI 1851303390
  Care Compare affiliation
• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Care Compare affiliation

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1497954416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 N CHURCH ST STE 301",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406590",
            "telephone_number": "801-777-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S STE 3500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241264",
            "telephone_number": "801-476-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4403 Harrison Blvd Ste 3835",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844033331",
            "country_code": "US",
            "telephone_number": "801-387-3475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N 1900 E",
            "address_2": "Department of Surgery, SOM",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320006",
            "country_code": "US",
            "telephone_number": "801-581-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "RAFE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "5414427-1205",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "UT",
            "license": "5414427-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rafe.connors@direct.imail.org",
            "affiliation": "N",
            "address_1": "4403 Harrison Blvd Ste 3835",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844033331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dean B. Connolly, DDS
• Jeffrey D. Connolly, DDS
• Kaitlin Diane Connolly, APRN
• Nona A Connolly, RN
• Kathryn E Connor, PT
• Alexis Cononelos, SSW
• Alison Conover
• Thomas Gerard Conover, M.D.
• Julia Marie Conrad
• Kevin Conrad, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.