Dara L Rock, MD
Individual provider Active NPI Internal Medicine Physician · Bangor, ME
NPI 1376598540 · NPPES record last updated Feb 3, 2022
Key facts
- NPI
- 1376598540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD17117 (ME)
- Practice address
- 900 Broadway
Bangor, ME 04401-1900 - Phone
- (207) 907-3300
- Fax
- (207) 907-1923
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Virginia School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Joseph Hospital
Practice addresses (Care Compare)
900 Broadway
Bangor, ME 04401-1900
Phone (207) 907-3300
Hospital & facility affiliations
- St Joseph Homecare
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
- Northern Light Maine Coast Hospital
- Northern Light Blue Hill Memorial Hospital
- Millinocket Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061205000535 | ME | Practitioner - Internal Medicine | 2860491693 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17117 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital | Current |
Accepting new patients | |
| Surapaneni Ramanadharao Mdpa | Past |
Accepting new patients |
Locations
900 Broadway
Bldg 4
Bangor, ME 04401
Phone (207) 907-3276
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
900 Broadway
Bangor, ME 04401
Phone (207) 907-3300
900 Broadway
Bldg 1
Bangor, ME 04401
Phone (207) 907-1187
600 Main St
Bldg 11
Bar Harbor, ME 04609
Phone (207) 288-1600
Interoperability endpoints
- drock1155142@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD17117 | ME | Yes |
Addresses
Primary practice location
900 Broadway
Bangor, ME 04401-1900
Mailing address
C/O St Marys Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02299094 | Medicaid | ME |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drock613780@direct-prd.goodhelpconnections.org |
Other providers in Bangor, ME
- Shelby Robichaud
- Ashley Robinson
- Daniel Scott Robinson
- Morganne May Robinson
- Rudie Robinson
- Beth Rockcress
- David L Rocker
- Jill C Rockey
- Abigail Rockwell
- Kayla Rockwell
All providers in Bangor, ME · Internal Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.