Individual provider Active NPI

Mark Peter Eggena, MD

  • Infectious Disease Physician
  • Rockport, ME
National Provider Identifier
1235108580
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
016822 Issued in ME
Practice address
4 Glen Cove Dr
Ste 202
Rockport, ME 04856
Phone
(207) 593-5800
Fax
(207) 593-5332
NPI assigned
Mar 17, 2006
Last updated
May 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 016822 ME
Infectious Disease Physician 207RI0200X 016822 ME Primary

Addresses

Primary practice location

4 Glen Cove Dr
Ste 202
Rockport, ME 04856

Mailing address

4 Glen Cove Dr
Ste 202
Rockport, ME 04856
Phone (207) 593-5800

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
I20050726000888 ME Practitioner - Infectious DiseasePractitioner - Internal Medicine 9931136488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of California, Geffen School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

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

4 Glen Cove Dr
Rockport, ME 04856-4236

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016822MEMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Penobscot Bay Physicians & Associates CurrentSince Jul 1, 2005 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

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

3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400

4 Glen Cove Dr
Ste 102
Rockport, ME 04856
Phone (207) 593-5757

4 Glen Cove Dr
Ste 201
Rockport, ME 04856
Phone (207) 301-5678

4 Glen Cove Dr
Ste 202
Rockport, ME 04856
Phone (207) 593-5800

Interoperability endpoints

  • Direct secure messaging: meggena10496@direct.mmc.mainehealth.org

Organizations & group practices 5

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 1

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1235108580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "STE 202",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "04856",
            "telephone_number": "207-593-5800",
            "fax_number": "207-593-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "STE 202",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "04856",
            "telephone_number": "207-593-5800",
            "fax_number": "207-593-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGENA",
        "first_name": "MARK",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "016822",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "ME",
            "license": "016822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.