Active NPI
Daniel Enrique Lomelin, MD, MPH
- Family Medicine Physician
- Southwest Harbor, ME
National Provider Identifier
1043832058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD27339
- Practice address
- 16 Community LN
Southwest Harbor, ME 04679-4273 - Phone
- (207) 244-5630
- Fax
- (207) 801-5802
- NPI assigned
- May 13, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35702 | NE | |
| Family Medicine Physician | 207Q00000X | MD27339 | ME | Primary |
Addresses
Primary practice location
16 Community LN
Southwest Harbor, ME 04679-4273
Mailing address
PO Box 8
Bar Harbor, ME 04609-0008
Phone (207) 288-5802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD27339 | Other | ME | MAINE BOARD OF LICENSURE IN MEDICINE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230914002764 | ME | Practitioner - Family Practice | 7416376439 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27339 | ME | MD | Family Medicine Physician |
| 35702 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Desert Island Hospital | Current | Accepting new patients | |
| Mount Desert Island Hospital | Current | Accepting new patients |
Locations
322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082
17 Hancock St
Bar Harbor, ME 04609
Phone (207) 288-5024
16 Community Ln
Southwest Harbor, ME 04679
Phone (207) 244-5630
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
Hospital
-
- Home Health Agency
- Northeast Harbor, ME
- NPI 1770955783
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Desert Island Hospital
Practice addresses (Care Compare)
16 Community LN
Southwest Harbor, ME 04679-4273
Phone (207) 244-5630
Hospital & facility affiliations
- Mount Desert Nursing Assoc
- Mount Desert Island Hospital
- Northern Light Maine Coast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1043832058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8",
"city": "BAR HARBOR",
"state": "ME",
"postal_code": "046090008",
"telephone_number": "207-288-5802",
"fax_number": "207-288-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 COMMUNITY LN",
"city": "SOUTHWEST HARBOR",
"state": "ME",
"postal_code": "046794273",
"telephone_number": "207-244-5630",
"fax_number": "207-801-5802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMELIN",
"first_name": "DANIEL",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-13",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "35702",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD27339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE BOARD OF LICENSURE IN MEDICINE",
"identifier": "MD27339",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southwest Harbor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.