Individual provider Active NPI

Rushika M Conroy, M.D.

  • Pediatric Obesity Medicine Physician
  • Portland, ME
National Provider Identifier
1013166974
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Obesity Medicine PhysicianTaxonomy code 2080B0002X
License
MD24348 Issued in ME
Practice address
41 Donald B Dean Dr Ste a
Portland, ME 04106-3252
Phone
(207) 661-6064
NPI assigned
Sep 16, 2008
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 2022013907 MO
Pediatric Obesity Medicine Physician 2080B0002X MD24348 ME Primary

Addresses

Primary practice location

41 Donald B Dean Dr Ste a
Portland, ME 04106-3252

Mailing address

41 Donald B Dean Dr Ste a
Portland, ME 04106-3252
Phone (207) 661-6064

Other practice location 1

887 Congress St Ste 100
Portland, ME 04102-3100
Phone (207) 662-5522

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
I20210212000279 ME Practitioner - Pediatric MedicinePractitioner - Endocrinology 0143498667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Endocrinology
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

41 Donald B Dean Dr
Suite a
South Portland, ME 04106-3252
Phone (207) 661-6064

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 7, 2023 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Aug 7, 2023 Accepting new patients
Mainehealth CurrentSince Aug 7, 2023 Accepting new patients
Maine Medical Partners CurrentSince Aug 7, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Past Accepting new patients

Locations

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

887 Congress St
Ste 100
Portland, ME 04102
Phone (207) 662-5522

41 Donald B Dean Dr
#A
South Portland, ME 04106
Phone (207) 661-6064

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

Interoperability endpoints

  • Direct secure messaging: rconroy595208@direct.mmc.mainehealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1013166974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DONALD B DEAN DR STE A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-661-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DONALD B DEAN DR STE A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-661-6064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "887 Congress St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023100",
            "country_code": "US",
            "telephone_number": "207-662-5522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONROY",
        "first_name": "RUSHIKA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MO",
            "license": "2022013907",
            "primary": false
        },
        {
            "code": "2080B0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Obesity Medicine",
            "state": "ME",
            "license": "MD24348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.