Active NPI
Matthew K Colaluca, PA-C
- Physician Assistant
- Belgrade, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA001128
- Practice address
- 4 Clement Way
Belgrade, ME 04917 - Phone
- (207) 495-3323
- Fax
- (207) 495-3353
- NPI assigned
- Jun 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA001128 | ME | Primary |
Addresses
Primary practice location
4 Clement Way
Belgrade, ME 04917
Mailing address
PO Box 274
Belgrade, ME 04918
Phone (207) 495-3323
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080730000632 | ME | Practitioner - Physician Assistant | 3577637164 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
149 N St
Waterville, ME 04901
Phone (207) 872-1000
15 Enterprise Dr
Mainegeneral Express Care
Augusta, ME 04330-7997
Phone (207) 621-8880
211 Main St
Waterville, ME 04901-6117
Phone (207) 877-3400
Hospital & facility affiliations
- Maine General Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- Quality
- 75.39
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA001128 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Physician Assistant | Current | Accepting new patients |
| Mainegeneral Medical Center | Past | Accepting new patients |
Locations
442 Civic Center Dr
Augusta, ME 04330
Phone (207) 622-6319
6 E Chestnut St
Augusta, ME 04330
Phone (207) 626-1236
150 Dresden Ave
Gardiner, ME 04345
Phone (207) 621-9337
5 Central Maine Xing
Gardiner, ME 04345
Phone (207) 582-6608
10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- matthewcolaluca@mgh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1083949184
Physician Assistant
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1124288196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 274",
"city": "BELGRADE",
"state": "ME",
"postal_code": "04918",
"telephone_number": "207-495-3323",
"fax_number": "207-495-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CLEMENT WAY",
"city": "BELGRADE",
"state": "ME",
"postal_code": "04917",
"telephone_number": "207-495-3323",
"fax_number": "207-495-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLALUCA",
"first_name": "MATTHEW",
"middle_name": "K",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-13",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA001128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belgrade, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.