Individual provider Active NPI

Jeremy B Duda, M.D.

  • Diagnostic Radiology Physician
  • Lewiston, ME
National Provider Identifier
1073785580
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD20048 Issued in ME
Practice address
300 Main St
Lewiston, ME 04240-7027
Phone
(207) 786-3571
Fax
(207) 783-3362
NPI assigned
Mar 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD20048 ME Primary

Addresses

Primary practice location

300 Main St
Lewiston, ME 04240-7027

Mailing address

PO Box 488
Auburn, ME 04212-0488
Phone (207) 786-3571

Other practice location 1

2 Independence Dr
Kennebunk, ME 04043-6078
Phone (207) 303-3300

Other practice location 2

15 Rock Row Ste 110
Westbrook, ME 04092-4877
Phone (207) 303-3300

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
I20140904001010 ME Practitioner - Diagnostic Radiology 7416191457 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Center for Cancer Medicine and Blood Disorders PAGroup PAC ID 0840195186, 69 clinicians
X-Ray Professional AssociationGroup PAC ID 8628086766, 9 clinicians

Practice addresses (Care Compare)

2 Independence Dr
Kennebunk, ME 04043-6078
Phone (207) 303-3300

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

Hospital & facility affiliations

  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024
  • Bridgton Hospital Hospital, Bridgton, ME, CCN 201310
  • Rumford Hospital Hospital, Rumford, ME, CCN 201306
  • St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034
  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20048MEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Professional Association Diagnostic Radiology CurrentSince Sep 1, 2014 Accepting new patients
Maine Center for Cancer Medicine & Blood Disorders, P.a. Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Shields Pet/CT at CMMC, LLC CurrentSince Jul 1, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Mar 21, 2016 Accepting new patients
Central Maine Medical Center CurrentSince Mar 21, 2016 Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

2 Independence Dr
Kennebunk, ME 04043
Phone (207) 303-3300

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

287 Main St
Ste 100
Lewiston, ME 04240
Phone (207) 795-2030

12 High St
Ste 101
Lewiston, ME 04240
Phone (207) 795-5780

12 Bates St
Ste C
Lewiston, ME 04240

12 High St
Ste 103
Lewiston, ME 04240
Phone (207) 795-2100

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

100 Campus Dr
Unit 108
Scarborough, ME 04074
Phone (207) 303-3300

105 Topsham Fair Mall Rd
Unit 1
Topsham, ME 04086
Phone (207) 303-3300

15 Rock Row
Ste 110
Westbrook, ME 04092
Phone (207) 303-3300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 5

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 4

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": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1073785580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042120488",
            "telephone_number": "207-786-3571",
            "fax_number": "207-783-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-786-3571",
            "fax_number": "207-783-3362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Independence Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436078",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Rock Row Ste 110",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040924877",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-241-4439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDA",
        "first_name": "JEREMY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD20048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.