NPIMap

Individual provider Active NPI

Marshall Rob Chamberlin, MD

  • Internal Medicine Physician
  • Scarborough, ME
National Provider Identifier
1003044488
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD20716 Issued in ME
Practice address
300 Professional Dr
Suite 2B
Scarborough, ME 04074-8897
Phone
(207) 883-3491
Fax
(207) 885-5587
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD20716 ME
Internal Medicine Physician 207R00000X MD20716 ME Primary

Addresses

Primary practice location

300 Professional Dr
Suite 2B
Scarborough, ME 04074-8897

Mailing address

190 Riverside St
Suite 6B
Portland, ME 04103-1073
Phone (207) 661-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151022001228 ME Practitioner - Internal Medicine 8426206863 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 15, 2015 Accepting new patients
Maine Medical Partners CurrentSince Aug 15, 2015 Accepting new patients
Maine Medical Partners Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Mainehealth CurrentSince Aug 15, 2015 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners Internal Medicine Current Accepting new patients
Maine Medical Partners CurrentSince Aug 15, 2015 Accepting new patients
Maine Medical Partners CurrentSince Aug 15, 2015 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

22 Bramhall St
#B
Portland, ME 04102

100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565

300 Professional Dr
#2B
Scarborough, ME 04074

300 Professional Dr
Ste 2C
Scarborough, ME 04074
Phone (207) 883-7926

300 Professional Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 761-1502

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

300 Professional Dr
Scarborough, ME 04074
Phone (207) 883-3491

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: mchamberlin123703@direct.mmc.mainehealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1003044488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 RIVERSIDE ST",
            "address_2": "SUITE 6B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031073",
            "telephone_number": "207-661-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROFESSIONAL DR",
            "address_2": "SUITE 2B",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748897",
            "telephone_number": "207-883-3491",
            "fax_number": "207-885-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLIN",
        "first_name": "MARSHALL",
        "middle_name": "ROB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD20716",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD20716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.