Individual provider Active NPI

Richard Paul Corey, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Provo, UT
National Provider Identifier
1568529105
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
52668101205 Issued in UT
Practice address
1055 N 300 W Ste 500
Provo, UT 84604-3312
Phone
(801) 357-7704
Fax
(801) 357-7424
NPI assigned
Jan 2, 2007
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00043978 WA
Ophthalmology Physician 207W00000X 52668101205 UT
Retina Specialist (Ophthalmology) Physician 207WX0107X 52668101205 UT Primary

Addresses

Primary practice location

1055 N 300 W Ste 500
Provo, UT 84604-3312

Mailing address

1055 N 300 W Ste 500
Provo, UT 84604-3312
Phone (801) 357-7704

Other practice location 1

5171 S Cottonwood St Ste 700
Murray, UT 84107-5717
Phone (801) 892-8200

Other practice location 2

11820 S State St Ste 320
Draper, UT 84020-7170
Phone (385) 237-3200

Other practice location 3

755 S 1040 W
Payson, UT 84651-4643
Phone (801) 406-1075

Other identifiers 6

IdentifierTypeStateIssuer
3933COOtherWAREGENCE INSURANCE NUM
8398349MedicaidWA
4539COOtherWAREGENCE INSURANCE NUM
0186949OtherWADEPT OF LABOR AND INDUSTR
4532COOtherWAREGENCE INSURANCE NUM
5393COOtherWAREGENCE INSURANCE NUM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcorey@rvsu.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20040609000945 UT Practitioner - Ophthalmology 1557344769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Retina and Vitreous Surgeons of Utah LLCGroup PAC ID 7113080169, 4 clinicians

Practice addresses (Care Compare)

5030 Harrison Blvd
Ogden, UT 84403-4311
Phone (801) 387-5600

5171 S Cottonwood St
Suite 700
Murray, UT 84107-5717
Phone (801) 892-8200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52668101205UTMDOphthalmology Physician
MD00043978WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 16, 2015 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 16, 2015 Accepting new patients
Retina and Vitreous Surgeons of Utah, LLC Ophthalmology CurrentSince Jan 2, 2009 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Pacific Retina Specialists, PS Ophthalmology Past Accepting new patients
Retina & Vitreous Consultants Inc Ophthalmology Past Accepting new patients
Retina Associates of Utah, PLLC Ophthalmology PastSince May 12, 1992 Accepting new patients
The Retina Institute LLC Ophthalmology Past Accepting new patients

Locations

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

11820 S State St
Ste 320
Draper, UT 84020
Phone (385) 237-3200

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5171 S Cottonwood St
Ste 700
Murray, UT 84107
Phone (801) 892-8200

755 S 1040 W
Payson, UT 84651
Phone (801) 406-1075

200 N Fairgrounds Rd
Ste 2
Price, UT 84501
Phone (435) 637-7860

54 E 100 N
Price, UT 84501
Phone (435) 437-2414

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

1055 N 300 W
Ste 210
Provo, UT 84604
Phone (801) 357-0280

1055 N 300 W
Ste 500
Provo, UT 84604
Phone (801) 357-7291

1067 N 500 W
Provo, UT 84604
Phone (801) 356-6002

120 E 200 N
Richfield, UT 84701
Phone (435) 896-2020

90 E Center St
Richfield, UT 84701
Phone (435) 567-7653

165 W 200 N
Roosevelt, UT 84066
Phone (435) 722-2981

5169 S Cottonwood St
Salt Lake City, UT 84107
Phone (801) 507-1600

5169 S Cottonwood St
Ste 6
Salt Lake City, UT 84107

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rcorey@rvsu.intellechartdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1568529105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 500",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043312",
            "telephone_number": "801-357-7704",
            "fax_number": "801-357-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 500",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043312",
            "telephone_number": "801-357-7704",
            "fax_number": "801-357-7424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5171 S Cottonwood St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841075717",
            "country_code": "US",
            "telephone_number": "801-892-8200",
            "fax_number": "801-357-7424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11820 S State St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840207170",
            "country_code": "US",
            "telephone_number": "385-237-3200",
            "fax_number": "801-357-7424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 S 1040 W",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846514643",
            "country_code": "US",
            "telephone_number": "801-406-1075",
            "fax_number": "801-357-7424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COREY",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00043978",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "52668101205",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "UT",
            "license": "52668101205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE INSURANCE NUM",
            "identifier": "3933CO",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8398349",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE INSURANCE NUM",
            "identifier": "4539CO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR AND INDUSTR",
            "identifier": "0186949",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE INSURANCE NUM",
            "identifier": "4532CO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE INSURANCE NUM",
            "identifier": "5393CO",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcorey@rvsu.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1055 N 300 W",
            "address_2": "Ste 210",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846043374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.