Active NPI
Charmaine Kamini Patel, MD
- Psychiatry Physician
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD20939
- Practice address
- 268 Stillwater Ave
Bangor, ME 04401-3945 - Phone
- (207) 973-6100
- NPI assigned
- Jun 29, 2007
- Last updated
- May 10, 2019
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD20939 | ME | Primary |
| Psychiatry Physician | 2084P0800X | 042.0013079 | VT |
Addresses
Primary practice location
268 Stillwater Ave
Bangor, ME 04401-3945
Mailing address
268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024876 | Medicaid | VT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Vermont College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Blue Hill Memorial Hospital | Current | Accepting new patients | |
| The Blue Hill Memorial Hospital | Current | Accepting new patients | |
| Acadia Hospital Corp | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| The Aroostook Medical Center | Current | Accepting new patients | |
| Sebasticook Valley Health | Current | Accepting new patients | |
| Sebasticook Valley Health | Current | Accepting new patients | |
| MRH Corp. | Current | Accepting new patients | |
| MRH Corp. | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| The Aroostook Medical Center | Current | Accepting new patients | |
| Vna Home Health & Hospice | Past | Accepting new patients |
Locations
268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470
489 State St
Bangor, ME 04401
Phone (207) 973-8837
57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400
43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326
897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105
140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000
140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Hospital
- Bangor, ME
- NPI 1215940523
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
dba Northern Light Maine Coast Hospital
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- Critical Access Hospital
- Pittsfield, ME
- NPI 1457461477
-
dba Northern Light A.R. Gould Hospital
- General Acute Care Hospital
- Presque Isle, ME
- NPI 1396858999
-
dba Northern Light Blue Hill Hospital
- Critical Access Hospital
- Blue Hill, ME
- NPI 1023057809
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Internal Medicine Physician
- Ellsworth, ME
- NPI 1598152035
-
dba Northern Light Mercy Health Center
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
dba Northern Light Mayo Hospital
- Medicare Defined Swing Bed Hospital Unit
- Dover Foxcroft, ME
- NPI 1548463623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1093912438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 STILLWATER AVE",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013945",
"telephone_number": "207-973-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 STILLWATER AVE",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013945",
"telephone_number": "207-973-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "CHARMAINE",
"middle_name": "KAMINI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "MD20939",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042.0013079",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024876",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.