Individual provider Active NPI

Doris D Cromer, M.D.

  • Family Medicine Physician
  • Boston, MA
National Provider Identifier
1215975206
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13531 Issued in NH
Practice address
American Well
75 State Street 26TH Floor
Boston, MA 02109
Phone
(855) 347-4108
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13531 NH Primary

Addresses

Primary practice location

American Well
75 State Street 26TH Floor
Boston, MA 02109

Mailing address

8 Aspen LN
Stratham, NH 03885-2166
Phone (603) 997-6466

Other practice location 1

8 Aspen Ln
Stratham, NH 03885
Phone (603) 997-6466

Other practice location 2

114 Sanford Rd
Wells, ME 04090-5533
Phone (603) 997-6466

Other identifiers 4

IdentifierTypeStateIssuer
142350002MedicaidME
688801100MedicaidMD
1215975206MedicaidNH
30207960MedicaidNH

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
I20140728001550 ME Practitioner - Family Practice 5092808790 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13531NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital Family Medicine CurrentSince Jun 17, 2014 Accepting new patients
Seacoast Pathology Inc Current Accepting new patients
Appledore Medical Group, Inc Family Medicine Past Accepting new patients

Locations

114 Sanford Rd
Wells, ME 04090
Phone (207) 641-8044

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1215975206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ASPEN LN",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852166",
            "telephone_number": "603-997-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AMERICAN WELL",
            "address_2": "75 STATE STREET 26TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "855-347-4108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Aspen Ln",
            "address_purpose": "LOCATION",
            "city": "Stratham",
            "state": "NH",
            "postal_code": "03885",
            "country_code": "US",
            "telephone_number": "603-997-6466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Sanford Rd",
            "address_purpose": "LOCATION",
            "city": "Wells",
            "state": "ME",
            "postal_code": "040905533",
            "country_code": "US",
            "telephone_number": "603-997-6466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROMER",
        "first_name": "DORIS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "13531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142350002",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688801100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215975206",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30207960",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.