NPIMap

Individual provider Active NPI

Michael Jaeger

  • Pulmonary Disease Physician
  • South Portland, ME
National Provider Identifier
1194189753
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD25838 Issued in ME
Practice address
100 Foden Rd Ste 103
South Portland, ME 04106-2327
Phone
(207) 828-1122
Fax
(207) 828-0188
NPI assigned
Apr 11, 2016
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X MD25838 ME Primary

Addresses

Primary practice location

100 Foden Rd Ste 103
South Portland, ME 04106-2327

Mailing address

701 Park Ave
Hennepin County Medical Center, Internal Medicine
Minneapolis, MN 55415
Phone (612) 873-2702

Other practice location 1

96 Campus Drive
Scarborough, ME 04074
Phone (207) 661-4247

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
I20220915002095 ME Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0547645293 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Minnesota Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chest Medicine Associates PAGroup PAC ID 0547258931, 30 clinicians
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

100 Foden Rd
Suite 103
South Portland, ME 04106-2327
Phone (207) 828-1122

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
60.7
Promoting interoperability
91
Improvement activities
40
Cost
73.8

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25838MEMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital CurrentSince Nov 5, 2022 Accepting new patients
Mainehealth CurrentSince Jul 1, 2023 Accepting new patients
Calais Community Hospital CurrentSince Jun 6, 2025 Accepting new patients
Mainehealth CurrentSince Jul 1, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mercy Hospital CurrentSince Nov 5, 2022 Accepting new patients
Calais Community Hospital CurrentSince Jun 6, 2025 Accepting new patients
Chest Medicine Associates, PA Pulmonary Disease CurrentSince Oct 3, 2022 Accepting new patients
Mercy Hospital Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

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

175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105

96 Campus Dr
Scarborough, ME 04074
Phone (207) 885-9905

100 Foden Rd
Ste 103
South Portland, ME 04106
Phone (207) 828-1122

100 Foden Rd
#103
South Portland, ME 04106
Phone (207) 828-1122

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Interoperability endpoints

  • Direct secure messaging: jaeger.michael.p1@direct.cma.nextgenshare.com
  • Direct secure messaging: mjaeger556519@direct.mmc.mainehealth.org

Organizations & group practices 10

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 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1194189753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "address_2": "HENNEPIN COUNTY MEDICAL CENTER, INTERNAL MEDICINE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55415",
            "telephone_number": "612-873-2702",
            "fax_number": "612-904-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FODEN RD STE 103",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062327",
            "telephone_number": "207-828-1122",
            "fax_number": "207-828-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Campus Drive",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "04074",
            "country_code": "US",
            "telephone_number": "207-661-4247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ME",
            "license": "MD25838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.