NPIMap

Individual provider Active NPI

Mary Anne Carroll, MD

  • Obstetrics & Gynecology Physician
  • Portland, ME
National Provider Identifier
1235162116
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD26233 Issued in ME
Practice address
Maine Medical Center
22 Bramhall Street
Portland, ME 04102
Phone
(207) 662-0111
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X I0769 TX
Maternal & Fetal Medicine Physician 207VM0101X L0769 TX
Maternal & Fetal Medicine Physician 207VM0101X 49410 WI
Maternal & Fetal Medicine Physician 207VM0101X MD45200 TN
Maternal & Fetal Medicine Physician 207VM0101X MD26233 ME
Obstetrics & Gynecology Physician 207V00000X MD26233 ME Primary

Addresses

Primary practice location

Maine Medical Center
22 Bramhall Street
Portland, ME 04102

Mailing address

Maine Medical Center
22 Bramhall Street
Portland, ME 04102
Phone (207) 662-0111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maryanne.carroll@direct.myteamcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, ME3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091231000363 TN Practitioner - Obstetrics/Gynecology 9638182298 Reassigns benefits to 1 organization
I20191023002405 TX Practitioner - Obstetrics/Gynecology 9638182298 Reassigns benefits to 1 organization
I20230220001401 ME Practitioner - Obstetrics/Gynecology 9638182298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 1996
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) 706-3280

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230801NYMDLicensed Practical Nurse
I0769TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Obstetrics & Gynecology CurrentSince Oct 1, 2019 Accepting new patients
Mainehealth CurrentSince Feb 13, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Oct 1, 2019 Accepting new patients
Mainehealth Current Accepting new patients
Vanderbilt University Medical Center Obstetrics & Gynecology CurrentSince Apr 30, 2016 Accepting new patients
Mainehealth CurrentSince Feb 13, 2023 Accepting new patients
Northwest Texas Healthcare System Inc Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Ut Physicians Past Accepting new patients
Ut Physicians Obstetrics & Gynecology Past Accepting new patients
Texas Tech University Health Sciences Center El Paso Past Accepting new patients

Locations

Dept AT 40379
Atlanta, GA 31192

Dept A T 40379
Atlanta, GA 31192

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

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

808 Joliet Ave
Unit 130
Lubbock, TX 79415
Phone (806) 761-0545

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

Interoperability endpoints

  • Direct secure messaging: mcarroll565715@direct.mmc.mainehealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1235162116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAINE MEDICAL CENTER",
            "address_2": "22 BRAMHALL STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-662-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAINE MEDICAL CENTER",
            "address_2": "22 BRAMHALL STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-662-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MARY ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "I0769",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "L0769",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WI",
            "license": "49410",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "MD45200",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "ME",
            "license": "MD26233",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD26233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maryanne.carroll@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "Texas Tech University Health Sciences Cemter",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.