Active NPI
Rushika M Conroy, M.D.
- Pediatric Obesity Medicine Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Obesity Medicine Physician
- License
- MD24348
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- New York Medical College, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | 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
- 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.
-
dba Maine Medical Partners Pediatrics
- Pediatrics Physician
- Saco, ME
- NPI 1134144090
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
dba Maine Medical Partners Neurosurgery & Spine
- Neurological Surgery Physician
- Scarborough, ME
- NPI 1659351393
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.