Individual provider Active NPI

Carmen J Rinaldi, M.D.

  • Dermatology Physician
  • Portland, ME
National Provider Identifier
1083694509
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
018037 Issued in ME
Practice address
50 Sewall St
Portland, ME 04102-2645
Phone
(207) 775-3526
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 48025 MN
Dermatology Physician 207N00000X 37487 AZ
Dermatology Physician 207N00000X 018037 ME Primary

Addresses

Primary practice location

50 Sewall St
Portland, ME 04102-2645

Mailing address

50 Sewall St
Portland, ME 04102-2645
Phone (207) 775-3526

Other identifiers 4

IdentifierTypeStateIssuer
660931700MedicaidMN
290678MedicaidAZ
433819099MedicaidME
P00449606OtherAZRAILROAD MEDICARE

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
I20090626000000 ME Practitioner - DermatologyPractitioner - Other (Physician) 4183651631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates, LLCGroup PAC ID 4587698279, 21 clinicians

Practice addresses (Care Compare)

50 Sewall St
Portland, ME 04102-2691
Phone 2077753526212

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions559
Removal or shaving of skin growth50
Skin biopsy91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37487AZMDDermatology Physician
018037MEMDDermatology Physician
48025MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates, LLC Dermatology CurrentSince Jul 6, 2009 Accepting new patients
Uptown Dermatology & Skin Spa, P.a. Dermatology Past Accepting new patients
Mayo Clinic Past Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

57 Barra Rd
Biddeford, ME 04005
Phone (207) 282-1305

2 Admiral Fitch Ave
Ste B
Brunswick, ME 04011

50 Sewall St
Portland, ME 04102
Phone (207) 775-3526

Interoperability endpoints

  • Direct secure messaging: carmen.rinaldi@dermassoc.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1083694509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022645",
            "telephone_number": "207-775-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022645",
            "telephone_number": "207-775-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINALDI",
        "first_name": "CARMEN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "48025",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "37487",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "018037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660931700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290678",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433819099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00449606",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.