NPIMap

Individual provider Active NPI

Brian E Daikh, MD

  • Specialist
  • Portland, ME
National Provider Identifier
1184617953
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
015829 Issued in ME
Practice address
51 Sewall St
Portland, ME 04102-2643
Phone
(207) 774-5761
Fax
(207) 874-7478
NPI assigned
Aug 26, 2005
Last updated
Dec 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 015829 ME Primary

Addresses

Primary practice location

51 Sewall St
Portland, ME 04102-2643

Mailing address

51 Sewall St
Portland, ME 04102-2643
Phone (207) 774-5761

Other identifiers 3

IdentifierTypeStateIssuer
0673610001OtherMEDMERC
335360099MedicaidME
660003783OtherMEPALMETTO RAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602001029 ME Practitioner - Rheumatology 0749223576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Oregon Health Sciences University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology Associates P.a.Group PAC ID 5395793541, 10 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

51 Sewall St
Portland, ME 04102-2643
Phone (207) 774-5761

730 Ctr St
Suite 9
Auburn, ME 04210-6316
Phone (207) 783-3450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as group
Quality
91.48
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015829MEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates P.a. Specialist CurrentSince Jan 1, 2007 Accepting new patients
Mainegeneral Medical Center CurrentSince May 29, 2018 Accepting new patients
Mainegeneral Health Associates Past Accepting new patients

Locations

6 E Chestnut St
Augusta, ME 04330
Phone (207) 626-1236

150 Dresden Ave
Gardiner, ME 04345
Phone (207) 621-9337

51 Sewall St
Portland, ME 04102
Phone (207) 772-8823

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: brian.daikh.p1@direct.rheumme.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1184617953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022643",
            "telephone_number": "207-774-5761",
            "fax_number": "207-874-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022643",
            "telephone_number": "207-774-5761",
            "fax_number": "207-874-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIKH",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "015829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0673610001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335360099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD MEDICARE",
            "identifier": "660003783",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.