NPIMap

Individual provider Active NPI

Nicole Rebusi, MD

  • Infectious Disease Physician
  • South Portland, ME
National Provider Identifier
1285193177
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD27914 Issued in ME
Practice address
41 Donald B Dean Dr Ste B
South Portland, ME 04106-3252
Phone
(207) 661-7901
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X MD27914 ME Primary

Addresses

Primary practice location

41 Donald B Dean Dr Ste B
South Portland, ME 04106-3252

Mailing address

41 Donald B Dean Dr Ste B
South Portland, ME 04106-3252
Phone (207) 661-7901

Other practice location 1

22 Bramhall St
Portland, ME 04102-3175
Phone (207) 662-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240803000392 ME Practitioner - Infectious DiseasePractitioner - Internal Medicine 6204164593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians

Practice addresses (Care Compare)

111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 779-3113

155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

181 Franklin Health CMNS
Farmington, ME 04938-6144

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

40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174

41 Donald B Dean Dr
South Portland, ME 04106-3252

43 Baxter Blvd
Portland, ME 04101-1823
Phone (207) 662-7180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 3, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Sep 3, 2024 Accepting new patients
Mercy Hospital CurrentSince Sep 1, 2024 Accepting new patients
Mercy Hospital CurrentSince Sep 1, 2024 Accepting new patients
Mainehealth Past Accepting new patients

Locations

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

41 Donald B Dean Dr
#B
South Portland, ME 04106
Phone (207) 661-7901

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Interoperability endpoints

  • Direct secure messaging: nrebusi240526@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 and National Provider Directory roles.

Hospital & facility affiliations 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1285193177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DONALD B DEAN DR STE B",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-661-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DONALD B DEAN DR STE B",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-661-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023175",
            "country_code": "US",
            "telephone_number": "207-662-0111",
            "fax_number": "207-662-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBUSI",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "ME",
            "license": "MD27914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.