John Robert Malta, D.O.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

DO3192 Issued in ME

Practice address

10 Minot Ave
Auburn, ME 04210-4900

Phone

(207) 795-2927

NPI assigned

May 8, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Neurology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score

85.02 of 100Reported as group

Quality

59.99

Promoting interoperability

99

Improvement activities

40

Cost

74.25

Merit-based Incentive Payment System (MIPS)

Final score

75.94 of 100Reported as group

Quality

47.72

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487
  Medicare reassignment Care Compare group

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

• Bridgton Hospital

  • Critical Access Hospital
  • Bridgton, ME
  • NPI 1154370153
  Care Compare affiliation
• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487
  Care Compare affiliation
• Rumford Hospital

  • Critical Access Hospital
  • Rumford, ME
  • NPI 1205991122
  Care Compare affiliation
• St. Mary'S Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1447226584
  Care Compare affiliation

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1083092241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MINOT AVE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104900",
            "telephone_number": "207-795-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MINOT AVE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104900",
            "telephone_number": "207-795-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTA",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT016535",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "DO3192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Auburn, ME
• Providers in Auburn, ME by specialty
• Neurology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; 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.

Verify at the official NPI Registry.