Individual provider Active NPI

Ahmad Hamdan, M.D.

  • Infectious Disease Physician
  • Bangor, ME
National Provider Identifier
1003470204
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
28086 Issued in ME
Practice address
417 State St
Bangor, ME 04401-6630
Phone
(207) 973-4377
Fax
(207) 973-5810
NPI assigned
Apr 24, 2019
Reactivated
Dec 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 28086 ME Primary

Addresses

Primary practice location

417 State St
Bangor, ME 04401-6630

Mailing address

417 State St
Bangor, ME 04401-6630
Phone (207) 973-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240816002929 ME Practitioner - Infectious Disease 9032449046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

417 State St
Suite 200
Bangor, ME 04401-6630
Phone (207) 973-4377

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001
  • Northern Light Blue Hill Memorial Hospital Hospital, Blue Hill, ME, CCN 201300
  • Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28086MEMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Sep 15, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Sep 15, 2024 Accepting new patients
Mercy Hospital Past Accepting new patients

Locations

417 State St
Bangor, ME 04401
Phone (207) 942-6096

489 State St
Bangor, ME 04401
Phone (207) 973-8837

417 State St
Ste 200
Bangor, ME 04401
Phone (207) 942-4108

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

Organizations & group practices 3

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1003470204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-973-4377",
            "fax_number": "207-973-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-973-4377",
            "fax_number": "207-973-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDAN",
        "first_name": "AHMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "deactivation_date": "2019-12-04",
        "reactivation_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "ME",
            "license": "28086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.