Individual provider Active NPI

Pamela Ross

  • Internal Medicine Physician
  • Lewiston, ME
National Provider Identifier
1144200833
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
012928 Issued in ME
Practice address
12 High St
Ste 400
Lewiston, ME 04240-7634
Phone
(207) 795-5700
Fax
(207) 795-5727
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 012928 ME Primary

Addresses

Primary practice location

12 High St
Ste 400
Lewiston, ME 04240-7634

Mailing address

12 High St
Ste 400
Lewiston, ME 04240-7634
Phone (207) 795-5700

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
I20050613000867 ME Practitioner - Internal Medicine 2860436631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012928MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Jul 11, 1990 Accepting new patients
Central Maine Medical Center CurrentSince Jul 11, 1990 Accepting new patients

Locations

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

12 High St
Ste 400
Lewiston, ME 04240
Phone (207) 795-5700

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

12 High St
#300
Lewiston, ME 04240
Phone (207) 784-3561

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 2

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": "1286928000000",
    "number": "1144200833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HIGH ST",
            "address_2": "STE 400",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407634",
            "telephone_number": "207-795-5700",
            "fax_number": "207-795-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HIGH ST",
            "address_2": "STE 400",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407634",
            "telephone_number": "207-795-5700",
            "fax_number": "207-795-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "012928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.