Individual provider Active NPI

Sarah Ebert, M.D.

  • Diagnostic Radiology Physician
  • Portland, ME
National Provider Identifier
1083063689
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD25663 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-4735
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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 267681 MA
Diagnostic Radiology Physician 2085R0202X MD25663 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7800

Other practice location 1

680 Centre St
Brockton, MA 02302-3395
Phone (508) 941-7458

Other identifiers 1

IdentifierTypeStateIssuer
1083063689MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME, NH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210804002964 MA Practitioner - Diagnostic Radiology 2163719881 Reassigns benefits to 2 organizations
I20220815000805 ME Practitioner - Diagnostic Radiology 2163719881 Reassigns benefits to 4 organizations
I20220815001182 NH Practitioner - Diagnostic Radiology 2163719881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Vermont College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 871-2571

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

33 Sewall St
Portland, ME 04102-2603
Phone (207) 828-2160

600 Turner St
Suite 1
Auburn, ME 04210-5093
Phone (207) 601-3333

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Memorial Hospital, the Hospital, North Conway, NH, CCN 301307
  • Lincolnhealth Hospital, Damariscotta, ME, CCN 201302
  • St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Partners, PA Diagnostic Radiology Current Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Spectrum Healthcare Partners, P.a CurrentSince Aug 1, 2022 Accepting new patients
Insight-Premier Health LLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Aug 1, 2022 Accepting new patients
Spectrum Healthcare Partners, P.a Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2021 Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

600 Turner St
Ste 1
Auburn, ME 04210
Phone (207) 601-3333

600 Turner St
Auburn, ME 04210
Phone (207) 376-3233

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

84 Marginal Way
Portland, ME 04101
Phone (207) 774-5816

33 Sewall St
Portland, ME 04102
Phone (207) 772-0076

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

100 Campus Dr
Scarborough, ME 04074
Phone (207) 396-7683

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • Direct secure messaging: sebert551831@direct.mmc.mainehealth.org

Organizations & group practices 10

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 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1083063689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800",
            "fax_number": "207-482-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-4735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023395",
            "country_code": "US",
            "telephone_number": "508-941-7458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERT",
        "first_name": "SARAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "267681",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD25663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083063689",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.