Individual provider Active NPI

Aquilino Alamo, MD

  • Internal Medicine Physician
  • Boothbay Harbor, ME
National Provider Identifier
1154473585
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
014696 Issued in ME
Practice address
19 Saint Andrews LN
Boothbay Harbor, ME 04538-1732
Phone
(207) 633-7820
Fax
(207) 563-4103
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainehealth 2,616 clinicians

Practice addresses (Care Compare)

19 Saint Andrews LN
Boothbay Harbor, ME 04538-1732
Phone (207) 633-7820

22 Bramhall St
Portland, ME 04102-3134

24 Miles Ctr Way
Maine Behavioral Healthcare
Damariscotta, ME 04543-4067
Phone (844) 292-0111

5 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (207) 563-3782

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Portland, ME, CCN 207073
  • Mainehealth Home Health and Hospice Home health agency, Saco, ME, CCN 207000
  • Chans Home Health & Hospice Hospice, Brunswick, ME, CCN 201501
  • Beacon Hospice, an Amedisys Company Hospice, Auburn, ME, CCN 201517
  • Lincolnhealth Hospital, Damariscotta, ME, CCN 201302
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021
  • Gregory Wing of St Andrews Village Nursing home, Boothbay Harbor, ME, CCN 205158

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

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
I20050629000035 ME Practitioner - Internal Medicine 1355387523 Reassigns benefits to 2 organizations

All facility ownership & control disclosures 2

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coves EdgeDamariscotta, ME, CCN 205067 Skilled nursing facility Corporate Director
Trustee of the SNF
Oct 1, 2024
Oct 1, 2024
St Andrews VillageBoothbay Harbor, ME, CCN 205158 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 1, 2024
Oct 24, 2025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014696MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

236 Townsend Ave
Boothbay Hbr, ME 04538
Phone (207) 633-1540

19 Saint Andrews Ln
Boothbay Hbr, ME 04538
Phone (207) 633-7820

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: aalamo522@direct.mmc.mainehealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 014696 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

19 Saint Andrews LN
Boothbay Harbor, ME 04538-1732

Mailing address

PO Box 745
Newcastle, ME 04553-0745
Phone (207) 563-4146

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
298680099MedicaidME

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2011.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1154473585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "NEWCASTLE",
            "state": "ME",
            "postal_code": "045530745",
            "telephone_number": "207-563-4146",
            "fax_number": "207-563-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SAINT ANDREWS LN",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381732",
            "telephone_number": "207-633-7820",
            "fax_number": "207-563-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMO",
        "first_name": "AQUILINO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "014696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298680099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boothbay Harbor, ME

Sources for this page

Verify at the official NPI Registry.