Individual provider Active NPI

Chelsea Michaud, DO

  • Allergy & Immunology Physician
  • Portland, ME
National Provider Identifier
1073878468
Registry record updated Aug 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
DO02711 Issued in ME
Practice address
195 Fore River Pkwy Ste 410
Portland, ME 04102
Phone
(207) 774-9839
Fax
(207) 761-2127
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO2711 ME
Allergy & Immunology Physician 207K00000X DO02711 ME Primary

Addresses

Primary practice location

195 Fore River Pkwy Ste 410
Portland, ME 04102

Mailing address

195 Fore River Pkwy
Ste 410
Portland, ME 04102-2788
Phone (207) 774-9839

Other practice location 1

5915 Landerbrook Dr
Suite 110
Mayfield Heights, OH 44124-4039
Phone (216) 381-3333

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
I20180301001957 ME Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8224329396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Allergy/Immunology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Associates of MaineGroup PAC ID 2567489016, 7 clinicians

Practice addresses (Care Compare)

195 Fore River Pkwy
Suite 410
Portland, ME 04102-2788
Phone (207) 774-9839

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO02711MEMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of Maine CurrentSince Jan 6, 2018 Accepting new patients
Allergy Immunology Associates Inc Allergy & Immunology PastSince Jul 1, 1994 Accepting new patients

Locations

28 W Cole Rd
Ste 103
Biddeford, ME 04005
Phone (207) 774-9839

33 Mollison Way
#R
Lewiston, ME 04240
Phone (207) 755-3785

33 Mollison Way
Lewiston, ME 04240
Phone (207) 784-5782

195 Fore River Pkwy
Ste 410
Portland, ME 04102
Phone (207) 473-1928

Interoperability endpoints

  • Direct secure messaging: chelsea.michaud.1@31586.direct.athenahealth.com

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.

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533945600000",
    "number": "1073878468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FORE RIVER PKWY",
            "address_2": "STE 410",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022788",
            "telephone_number": "207-774-9839",
            "fax_number": "207-761-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FORE RIVER PKWY STE 410",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-774-9839",
            "fax_number": "207-761-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5915 Landerbrook Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Mayfield Heights",
            "state": "OH",
            "postal_code": "441244039",
            "country_code": "US",
            "telephone_number": "216-381-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "CHELSEA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2018-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "DO2711",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "ME",
            "license": "DO02711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.