Active NPI
Rosario A Carrasco, M.D.
- Diagnostic Radiology Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD26694
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 662-4735
- NPI assigned
- Jul 24, 2007
- Last updated
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710288079 | Medicaid | ME |
Other names 1
- Sister Maura Rosario Carrasco
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CT, MA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 125063940 | IL | MD | Internal Medicine Physician |
| 036-148772 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| RMH Pathologists, LTD | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Chelmsford MRI, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, P.a | Current | Accepting new patients | |
| Tic, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Dayton Pediatric Imaging Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Insight-Premier Health LLC | Diagnostic Radiology | Current | Accepting new patients |
| Chelmsford MRI, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Richland Memorial Hospital, Inc. | Current | 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
- 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.
-
dba RAYUS Radiology Auburn
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Auburn, ME
- NPI 1417613456
-
dba Rayus Radiology
- Diagnostic Radiology Physician
- Springfield, MA
- NPI 1821435553
-
dba Hoopeston Physician Group
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
IL
-
dba Carle Richland Memorial Hospital
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Diagnostic Radiology Physician
- Farmington, CT
- NPI 1275987802
-
dba RAYUS Radiology Brunswick
- Diagnostic Radiology Physician
- Scarborough, ME
- NPI 1710942875
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.