Active NPI
Metabolic Leader LLC
- Endocrinology, Diabetes & Metabolism Physician
- Scarborough, ME
National Provider Identifier
1134436165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- METABOLIC LEADER LLC
- Practice address
- 51 US Route 1 Ste H
Scarborough, ME 04074-7134 - Phone
- (207) 396-6433
- Fax
- (207) 396-6436
- NPI assigned
- Sep 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephan P Babirak, PHD MD
- Title
- President/Medical Director
- Phone
- (207) 396-6433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
51 US Route 1 Ste H
Scarborough, ME 04074-7134
Mailing address
51 US Route 1 Ste H
Scarborough, ME 04074-7134
Phone (207) 396-6433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/2690/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endocrinology, Diabetes & Metabolism Physician
- Scarborough, ME
- NPI 1689619884
-
- Family Nurse Practitioner
- Scarborough, ME
- NPI 1801183470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602028800000",
"number": "1134436165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 US ROUTE 1 STE H",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747134",
"telephone_number": "207-396-6433",
"fax_number": "207-396-6436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 US ROUTE 1 STE H",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747134",
"telephone_number": "207-396-6433",
"fax_number": "207-396-6436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METABOLIC LEADER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-13",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A",
"authorized_official_last_name": "BABIRAK",
"authorized_official_first_name": "STEPHAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "207-396-6433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.