Rory Carrera, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8975811-1205 Issued in UT

Practice address

1055 N Curtis Rd
Boise, ID 83706-1309

Phone

(208) 367-7350

NPI assigned

May 5, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, TX2 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

Internal Medicine

Education

University of Utah School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santibanez Pac UtahGroup PAC ID 1355785437, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
• Stonehenge of South Jordan Nursing home, South Jordan, UT, CCN 465176
• Stonehenge of Springville Nursing home, Springville, UT, CCN 465130
• Stonehenge of American Fork Nursing home, American Fork, UT, CCN 465178
• Stonehenge of Orem Nursing home, Orem, UT, CCN 465167

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcarrera1563143@direct.trinity-health.org

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Kane County Human Resource Special Service District

  • Skilled Nursing Facility
  • Springville, UT
  • NPI 1063401750

  5% Or Greater Indirect Ownership Interest, Adp of the SNF, Indirect Ownership Interest, Operational/Managerial Control

  CMS ownership
• Kane County Human Resource Special Service District

  • Skilled Nursing Facility
  • American Fork, UT
  • NPI 1255612487

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Sarsen Healthcare LLC

  • Skilled Nursing Facility
  • Orem, UT
  • NPI 1467324962

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Trilithon Healthcare LLC

  • Skilled Nursing Facility
  • South Jordan, UT
  • NPI 1710859210

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Santibanez Pac Utah

  • Geriatric Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1881469484
  Medicare reassignment Care Compare group NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  UT

  Medicare reassignment NPD
• Utah Regional Hospitalists LLC

  • Hospitalist Physician
  • Murray, UT
  • NPI 1962821223
  Medicare reassignment NPD
• Utah Regional Hospitalists LLC

  • Hospitalist Physician
  • Idaho Falls, ID
  • NPI 1740715507
  NPD

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

• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Provo, UT
  • NPI 1114025491
  Care Compare affiliation
• Ihc Health Services, Inc.

  • Infusion Therapy Clinic/Center
  • Spanish Fork, UT
  • NPI 1679426944

  Hospital

  Care Compare affiliation
• Ihc Health Services, Inc.

  • Infusion Therapy Clinic/Center
  • American Fork, UT
  • NPI 1982557252

  Hospital

  Care Compare affiliation
• Kane County Human Resource Special Service District

  • Skilled Nursing Facility
  • Springville, UT
  • NPI 1063401750

  Nursing home

  Care Compare affiliation
• Kane County Human Resource Special Service District

  • Skilled Nursing Facility
  • American Fork, UT
  • NPI 1255612487

  Nursing home

  Care Compare affiliation
• Sarsen Healthcare LLC

  • Skilled Nursing Facility
  • Orem, UT
  • NPI 1467324962

  Nursing home

  Care Compare affiliation
• Trilithon Healthcare LLC

  • Skilled Nursing Facility
  • South Jordan, UT
  • NPI 1710859210

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1710279922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7953 S 3500 E",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215832",
            "telephone_number": "801-598-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-367-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "RORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "MC-1184",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "8975811-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laiten Ashley Carr, LMSW
• Sean M Carr, M.D.
• Emmanuel Carranza
• Alicia Andrea Carrasco, MD
• Ana Rosa Carrera
• Melanie Carrillo
• Nelida Carrillo, LMSW
• Gemia Lorraine Carroll
• Michael David Carroll, M.D.
• Rebecca Marie Carroll

• Internal Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.