Active NPI
Sarah Ebert, M.D.
- Diagnostic Radiology Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD25663
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083063689 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
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
- Memorial Hospital, the
- Lincolnhealth
- St Mary'S Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| Massachusetts General Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| Spectrum Healthcare Partners, P.a | Current | Accepting new patients | |
| Insight-Premier Health LLC | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, P.a. | Current | Accepting new patients | |
| Spectrum Healthcare Partners, P.a | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| The General Hospital Corporation | Current | 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
- 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.
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Diagnostic Radiology
Hospital & facility affiliations 43
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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.