Active NPI
Jill Charlotte Dimartinis, MD
- Family Medicine Physician
- Wells, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD17055
- Practice address
- 112 Sanford Rd
Wells, ME 04090-5533 - Phone
- (207) 646-5211
- Fax
- (207) 641-8151
- NPI assigned
- Jul 18, 2006
- Last updated
- Oct 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17055 | ME | Primary |
Addresses
Primary practice location
112 Sanford Rd
Wells, ME 04090-5533
Mailing address
51 US Route 1 Ste a
Scarborough, ME 04074-7145
Phone (207) 396-1440
Other practice location 1
51 US Route 1 Ste A
Scarborough, ME 04074-7145
Phone (207) 396-1440
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225057565 | Other | ME | ANTHEM |
| 6223338 | Other | ME | CIGNA |
| 7996841 | Other | ME | AETNA |
| AA70718 | Other | ME | HARVARD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Tufts University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Great Falls PLZ
Suite 21
Auburn, ME 04210-5966
Phone (207) 330-3950
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Pathology Inc | Current | Accepting new patients | |
| York Hospital | Family Medicine | Current | Accepting new patients |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Primecare Physician Associates | Family Medicine | Past | Accepting new patients |
| Alternative Wellness Services | Past | Accepting new patients |
Locations
3 Willow Run
Auburn, ME 04210
Phone (207) 513-3550
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
1474 Main St
Sanford, ME 04073
Phone (207) 608-8425
112 Sanford Rd
Wells, ME 04090
Phone (207) 641-8100
114 Sanford Rd
Wells, ME 04090
Phone (207) 641-8044
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
Interoperability endpoints
- jdimartinis2796505@direct.bsmhealth.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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
dba St. Mary's d'Youville Pavilion
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
-
- Clinical Medical Laboratory
- Exeter, NH
- NPI 1154651230
-
- Community/Behavioral Health Agency
- Biddeford, ME
- NPI 1982046207
-
- Family Medicine Physician
- Biddeford, ME
- NPI 1831150911
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1225057565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 US ROUTE 1 STE A",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747145",
"telephone_number": "207-396-1440",
"fax_number": "207-289-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SANFORD RD",
"city": "WELLS",
"state": "ME",
"postal_code": "040905533",
"telephone_number": "207-646-5211",
"fax_number": "207-641-8151"
}
],
"practiceLocations": [
{
"address_1": "51 US Route 1 Ste A",
"address_purpose": "LOCATION",
"city": "Scarborough",
"state": "ME",
"postal_code": "040747145",
"country_code": "US",
"telephone_number": "207-396-1440",
"fax_number": "207-289-3104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIMARTINIS",
"first_name": "JILL",
"middle_name": "CHARLOTTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD17055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1225057565",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6223338",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7996841",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "AA70718",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wells, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.