Khaled Al Sibai, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Scarborough, ME
NPI 1144715327 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1144715327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- MD26359 (ME)
- Practice address
- 175 US Route 1
Scarborough, ME 04074-9048 - Phone
- (207) 396-7700
- NPI assigned
- Jun 28, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 39
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mainehealth
Practice addresses (Care Compare)
175 US Route 1
Scarborough, ME 04074-9048
Phone (207) 396-7700
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Mainehealth Mid Coast Hospital
- Maine General Medical Center
- Mainehealth Pen Bay Hospital
- Lincolnhealth
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230726002815 | ME | Practitioner - Endocrinology |
8628404928 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.141828 | OH | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Maine Medical Partners | Endocrinology, Diabetes & Metabolism | Current |
Accepting new patients |
| Maine Medical Partners | Current |
Accepting new patients | |
| Mainehealth | Internal Medicine | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
175 US Route 1
Scarborough, ME 04074
Phone (207) 396-7700
Interoperability endpoints
- kalsibai595718@direct.mmc.mainehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 276298 | MA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 35.141828 | OH | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD26359 | ME | Yes |
Addresses
Primary practice location
175 US Route 1
Scarborough, ME 04074-9048
Mailing address
175 US Route 1
Scarborough, ME 04074-9048
Phone (207) 396-7700
Other providers in Scarborough, ME
- Jason Adour
- Advanced Physical Therapy,LLC
- Advantage Physical Therapy & Performance
- Maxwell Afari
- Breanna A Agbortoko
- Joseph Tirone Alexander
- Mark Edward Alexander
- Alhasan LLC
- Alison Cameron Pmhnp LLC
- Walter Charles Allan
All providers in Scarborough, ME · Endocrinology, Diabetes & Metabolism Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.