ROSA JAIME CARBONELL MD
NPI 1689178766
Student in an Organized Health Care Education/Training Program in Portland, OR
About Rosa Jaime Carbonell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSA JAIME CARBONELL MD (NPI 1689178766) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rosa Jaime Carbonell Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Rosa Carbonell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97210
- Reassigned Medicare billing, Oregon enrollment
- 1,248 clinicians in this Medicare group
Vancouver, WA 98686
- Reassigned Medicare billing, Washington enrollment
- 754 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Good Samaritan Medical Center
Acute Care Hospitals · Portland, ORLegacy Salmon Creek Medical Center
Acute Care Hospitals · Vancouver, WAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rosa Carbonell's NPI number?
The NPI number for Rosa Carbonell is 1689178766. It was assigned to this individual provider in the NPPES registry on March 22, 2018.
Where is Rosa Carbonell located?
Rosa Carbonell practices at 3181 SW Sam Jackson Park Rd # L-579, Portland, OR 97239. The listed phone number is (503) 494-8211.
What is Rosa Carbonell's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Rosa Carbonell enrolled in Medicare?
Yes. Rosa Carbonell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Rosa Carbonell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rosa Carbonell reassigns Medicare benefits to 2 organizations: Legacy Clinics LLC (Portland, OR) and Legacy Salmon Creek Hospital (Vancouver, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rosa Carbonell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rosa Carbonell accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Rosa Carbonell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Rosa Carbonell affiliated with any hospitals?
According to CMS data, Rosa Carbonell is affiliated with Legacy Good Samaritan Medical Center and Legacy Salmon Creek Medical Center.
When was this NPI record last updated?
The NPPES record for Rosa Carbonell was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rosa Jaime Carbonell, MD · NPI 1689178766
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 22, 2018.
## Identity
- **NPI:** 1689178766 (Entity type: Individual)
- **Enumerated:** March 22, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD # L-579, Portland, OR 97239-3098
- **Phone:** (503) 494-8211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Legacy Clinics LLC (NPI 1902827272, Portland, OR); Legacy Salmon Creek Hospital (NPI 1356357784, Vancouver, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689178766) · Data from the CMS NPPES public registry.