Individual provider Active NPI

Maia Lafarge Pinsky, MD

  • Family Medicine Physician
  • Gardiner, ME
National Provider Identifier
1053722298
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD22274 Issued in ME
Practice address
152 Dresden Ave
Gardiner, ME 04345-2615
Phone
(207) 582-6608
Fax
(207) 582-2258
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MRM-1398 ID
Family Medicine Physician 207Q00000X M-13190 ID
Family Medicine Physician 207Q00000X MD22274 ME Primary

Addresses

Primary practice location

152 Dresden Ave
Gardiner, ME 04345-2615

Mailing address

152 Dresden Ave
Gardiner, ME 04345-2615
Phone (207) 582-6608

Other practice location 1

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other practice location 2

6565 W Emerald St
Boise, ID 83704-8737
Phone (208) 514-2510

Other identifiers 1

IdentifierTypeStateIssuer
1053722298MedicaidID

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
I20181011001702 ME Practitioner - Family Practice 4880910728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, shared by 4 NPIs, 554 clinicians

Practice addresses (Care Compare)

5 Central Maine Xing
Gardiner, ME 04345-6320
Phone (207) 582-6608

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MRM-1398IDMDFamily Medicine Physician
MD22274MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Sep 17, 2018 Accepting new patients
Mainegeneral Medical Center Family Medicine CurrentSince Apr 3, 2020 Accepting new patients
Mainegeneral Medical Center CurrentSince Sep 17, 2018 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

21 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7550

150 Dresden Ave
Gardiner, ME 04345
Phone (207) 621-9337

5 Central Maine Xing
Gardiner, ME 04345
Phone (207) 582-6608

152 Dresden Ave
Gardiner, ME 04345
Phone (207) 582-6608

10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: maiapinsky@mgh.allscriptsdirect.net

Organizations & group practices 4

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1053722298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 DRESDEN AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452615",
            "telephone_number": "207-582-6608",
            "fax_number": "207-582-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 DRESDEN AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452615",
            "telephone_number": "207-582-6608",
            "fax_number": "207-582-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 N Raymond St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049251",
            "country_code": "US",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 W Emerald St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048737",
            "country_code": "US",
            "telephone_number": "208-514-2510",
            "fax_number": "208-375-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINSKY",
        "first_name": "MAIA",
        "middle_name": "LAFARGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM-1398",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-13190",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD22274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053722298",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardiner, ME

Sources for this page

Verify at the official NPI Registry.