Individual provider Active NPI

Stephen J Kirsch, MD

  • Family Medicine Physician
  • Scarborough, ME
National Provider Identifier
1093747628
Registry record updated Nov 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD14178 Issued in ME
Practice address
96 Campus Dr
Suite 2C
Scarborough, ME 04074-7133
Phone
(207) 883-7926
Fax
(207) 883-1925
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD014178 ME
Family Medicine Physician 207Q00000X MD14178 ME Primary

Addresses

Primary practice location

96 Campus Dr
Suite 2C
Scarborough, ME 04074-7133

Mailing address

301C US Route 1
Scarborough, ME 04074-9701
Phone (207) 396-8600

Other identifiers 1

IdentifierTypeStateIssuer
293280099MedicaidME

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
I20040206000603 ME Practitioner - Family Practice 7416851043 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

265 Main St
Suite 201
Biddeford, ME 04005-3091
Phone (800) 683-8313

6 Washington St
Suite D
Sanford, ME 04073-3079
Phone (800) 683-8313

77 Park St
Rockland, ME 04841-2846
Phone (800) 683-8313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14178MEMDFamily Medicine Physician
MD014178MEMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 1, 2019 Accepting new patients
Mainehealth CurrentSince Oct 1, 2019 Accepting new patients
Recover Together, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Maine Medical Partners CurrentSince Oct 1, 2019 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Maine Medical Partners Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Recover Together, Inc. Family Medicine CurrentSince Oct 1, 2020 Accepting new patients

Locations

Dept CH17590
Palatine, IL 60055

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

272 Congress St
Portland, ME 04101
Phone (207) 874-2466

315 Park Ave
Portland, ME 04102
Phone (207) 662-2091

77 Park St
Rockland, ME 04841
Phone (207) 245-7654

96 Campus Dr
Ste 2C
Scarborough, ME 04074
Phone (207) 883-7926

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

96 Campus Dr
Fl 2
Scarborough, ME 04074
Phone (207) 883-7926

301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600

39 Wallace Ave
South Portland, ME 04106
Phone (207) 761-0650

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Organizations & group practices 8

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668902400000",
    "number": "1093747628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301C US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749701",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CAMPUS DR",
            "address_2": "SUITE 2C",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747133",
            "telephone_number": "207-883-7926",
            "fax_number": "207-883-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-11-20",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "ME",
            "license": "MD014178",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD14178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293280099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.