Individual provider Active NPI

Rosario A Carrasco, M.D.

  • Diagnostic Radiology Physician
  • Portland, ME
National Provider Identifier
1720288079
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD26694 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-4735
NPI assigned
Jul 24, 2007
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125063940 IL
Diagnostic Radiology Physician 2085R0202X 23697 NH
Diagnostic Radiology Physician 2085R0202X 036-148772 IL
Diagnostic Radiology Physician 2085R0202X MD26694 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7861

Other practice location 1

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000

Other practice location 2

3922 Mercy Dr
McHenry, IL 60050-3179
Phone (815) 344-4499

Other practice location 3

611 West Park Street, Carle Forum LL
University of Illinois, College of Medicine-IMRP
Urbana, IL 61801
Phone (217) 383-3110

Other practice location 4

2400 N Rockton Ave
Rockford, IL 61103-3681
Phone (815) 971-5000

Other practice location 5

901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431

Other practice location 6

2000 Lake Ave
Woodstock, IL 60098-7401
Phone (815) 337-7100

Other identifiers 1

IdentifierTypeStateIssuer
1710288079MedicaidME

Other names 1

  • Sister Maura Rosario Carrasco Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CT, MA, ME4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190731002034 IL Practitioner - Diagnostic Radiology 7012921869 Reassigns benefits to 4 organizations
I20210317000664 CT Practitioner - Diagnostic Radiology 7012921869 Reassigns benefits to 2 organizations
I20211103003201 MA Practitioner - Diagnostic Radiology 7012921869 Reassigns benefits to 3 organizations
I20230328000187 ME Practitioner - Diagnostic Radiology 7012921869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Pediatric Imaging IncGroup PAC ID 8224136601, 6 clinicians

Practice addresses (Care Compare)

4 Sullivan LN
Saco, ME 04072-9688
Phone (937) 621-1299

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125063940ILMDInternal Medicine Physician
036-148772ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Jul 15, 2019 Accepting new patients
Hoopeston Community Memorial Hospital Internal Medicine CurrentSince May 3, 2021 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince May 3, 2021 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Spectrum Healthcare Partners, P.a CurrentSince May 1, 2023 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Mercy Health System Corporation CurrentSince Oct 1, 2019 Accepting new patients
Dayton Pediatric Imaging Inc CurrentSince Oct 1, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 1, 2019 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jul 6, 2021 Accepting new patients
Insight-Premier Health LLC Diagnostic Radiology CurrentSince Apr 11, 2023 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Jul 6, 2021 Accepting new patients
Mainehealth Past Accepting new patients

Locations

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

3922 Mercy Dr
McHenry, IL 60050
Phone (815) 344-4499

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

600 Turner St
Ste 1
Auburn, ME 04210
Phone (207) 601-3333

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

Interoperability endpoints

  • Direct secure messaging: scarrascomd329048@carlehiedirect.net

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1720288079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7861",
            "fax_number": "207-298-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-4735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 E Riverside Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611142300",
            "country_code": "US",
            "telephone_number": "815-971-7000",
            "fax_number": "815-968-4795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3922 Mercy Dr",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600503179",
            "country_code": "US",
            "telephone_number": "815-344-4499",
            "fax_number": "815-344-4779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 West Park Street, Carle Forum LL",
            "address_2": "University of Illinois, College of Medicine-IMRP",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "61801",
            "country_code": "US",
            "telephone_number": "217-383-3110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 N Rockton Ave",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611033681",
            "country_code": "US",
            "telephone_number": "815-971-5000",
            "fax_number": "815-968-0170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Grant St",
            "address_purpose": "LOCATION",
            "city": "Harvard",
            "state": "IL",
            "postal_code": "600331821",
            "country_code": "US",
            "telephone_number": "815-943-5431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600987401",
            "country_code": "US",
            "telephone_number": "815-337-7100",
            "fax_number": "815-337-8251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "ROSARIO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125063940",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "23697",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-148772",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD26694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710288079",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SISTER MAURA ROSARIO",
            "last_name": "CARRASCO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.