Individual provider Active NPI

Inga S Johannesson, DO

  • Internal Medicine Physician
  • Norway, ME
National Provider Identifier
1205863156
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO1827 Issued in ME
Practice address
8 Pikes HL
Norway, ME 04268-5340
Phone
(207) 744-6444
Fax
(207) 743-6306
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 DO1827 ME Primary

Addresses

Primary practice location

8 Pikes HL
Norway, ME 04268-5340

Mailing address

8 Pikes HL
Norway, ME 04268-5340
Phone (207) 744-6444

Other identifiers 1

IdentifierTypeStateIssuer
419020099MedicaidME

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
I20040831001365 ME Practitioner - Internal Medicine 5395710511 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Stephens Memorial Hospital AssociationGroup PAC ID 8921990193, 11 clinicians
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians
Riverview Physical Therapy Limited PartnershipGroup PAC ID 2769393586, shared by 2 NPIs, 58 clinicians

Practice addresses (Care Compare)

181 Main St
Norway, ME 04268-5648

181 Main St
Norway, ME 04268-5664
Phone (207) 743-5933

193 Main St
Norway, ME 04268-5645

193 Main St
Suite 9
Norway, ME 04268-5647
Phone (207) 743-8766

22 Bramhall St
Portland, ME 04102-3134

34 Winter St
Oxford Hills Family Practice
Norway, ME 04268-5620
Phone (207) 743-8031

50 Forest Falls Dr
Yarmouth, ME 04096-6937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.57 of 100Reported as group
Quality
66.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 2, 2017 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Mainehealth CurrentSince Oct 2, 2017 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

99 Campus Ave
Ste 201
Lewiston, ME 04240
Phone (207) 777-5300

193 Main St
Ste 3
Norway, ME 04268
Phone (207) 743-7605

193 Main St
Ste 1
Norway, ME 04268
Phone (207) 743-7721

8 Pikes Hl
Norway, ME 04268
Phone (207) 743-9292

181 Main St
Norway, ME 04268
Phone (207) 743-5933

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

301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600

Interoperability endpoints

  • Direct secure messaging: ijohannesson72202@direct.mmc.mainehealth.org

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1205863156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PIKES HL",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685340",
            "telephone_number": "207-744-6444",
            "fax_number": "207-743-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PIKES HL",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685340",
            "telephone_number": "207-744-6444",
            "fax_number": "207-743-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNESSON",
        "first_name": "INGA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "DO1827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419020099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norway, ME

Sources for this page

Verify at the official NPI Registry.