NPIMap

Individual provider Active NPI

Matthew G Pyenta, D.O.

  • Nephrology Physician
  • Lewiston, ME
National Provider Identifier
1386628063
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2082 Issued in ME
Practice address
710 Main St
Lewiston, ME 04240
Phone
(207) 783-1449
Fax
(207) 777-3865
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2082 ME Primary
Internal Medicine Physician 207R00000X 2082 ME

Addresses

Primary practice location

710 Main St
Lewiston, ME 04240

Mailing address

710 Main St
Lewiston, ME 04240
Phone (207) 783-1449

Other identifiers 1

IdentifierTypeStateIssuer
433123499MedicaidME

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
I20090113000422 ME Practitioner - Nephrology 5294785689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Central MaineGroup PAC ID 1850332743, 7 clinicians

Practice addresses (Care Compare)

710 Main St
Lewiston, ME 04240-5801
Phone (207) 783-1449

Hospital & facility affiliations

  • FMC Umbagog Kidney Center Dialysis facility, Wilton, ME, CCN 202508
  • Fresenius Kidney Care Greater Lewiston Dialysis facility, Lewiston, ME, CCN 202519
  • FMC Kennebec Kidney Center Dialysis facility, Augusta, ME, CCN 202504
  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024
  • St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034
  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039
  • Mainehealth Stephens Hospital Hospital, Norway, ME, CCN 201315
  • Mainehealth Franklin Hospital Hospital, Farmington, ME, CCN 201316

Merit-based Incentive Payment System (MIPS)

Final score
75.94 of 100Reported as group
Quality
47.72
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Central Maine CurrentSince Jan 1, 2009 Accepting new patients
Rumford Hospital CurrentSince May 1, 2012 Accepting new patients
Rumford Hospital CurrentSince May 1, 2012 Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

77 Bates St
Ste 5
Lewiston, ME 04240
Phone (207) 783-1449

710 Main St
Lewiston, ME 04240
Phone (207) 783-1449

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • Direct secure messaging: mpyenta@nacm.ssdirect.aprima.com

Organizations & group practices 3

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 7

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1386628063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-783-1449",
            "fax_number": "207-777-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-783-1449",
            "fax_number": "207-777-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYENTA",
        "first_name": "MATTHEW",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ME",
            "license": "2082",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "2082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433123499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.