Active NPI
Ruth E Talley, MD
- Critical Care Medicine (Internal Medicine) Physician
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 015673
- Practice address
- 417 State St
Ste 400
Bangor, ME 04401 - Phone
- (207) 942-6096
- Fax
- (207) 973-8857
- NPI assigned
- Mar 14, 2006
- Last updated
- Nov 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 015673 | ME | Primary |
Addresses
Primary practice location
417 State St
Ste 400
Bangor, ME 04401
Mailing address
417 State St
Ste 400
Bangor, ME 04401
Phone (207) 942-6096
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4320121799 | Medicaid | ME | |
| 061678 | Other | ME | BLUE CROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of Massachusetts Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 Broadway
Suite 100
Bangor, ME 04401-3979
Phone (207) 907-3550
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015673 | ME | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital | Current | Accepting new patients | |
| St. Joseph Ambulatory Care Inc | Past | Accepting new patients | |
| Penobscot Respiratory | Past | Accepting new patients | |
| Norumbega Medical Specialists, LTD | Past | Accepting new patients | |
| Alternative Health Services of St. Joseph Inc. | Past | Accepting new patients |
Locations
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
Ste 100
Bangor, ME 04401
Phone (207) 907-3550
900 Broadway
Bldg 4
Bangor, ME 04401
Phone (207) 907-3276
600 Main St
Bldg 11
Bar Harbor, ME 04609
Phone (207) 288-1600
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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
dba St. Joseph Homecare and Hospice
- Home Health Agency
- Bangor, ME
- NPI 1972503365
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
-
- Pulmonary Disease Physician
- Bangor, ME
- NPI 1710925201
-
dba St. Joseph Infusion Center
- Medical Specialty Clinic/Center
- Bangor, ME
- NPI 1184678088
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1417925645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 STATE ST",
"address_2": "STE 400",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-942-6096",
"fax_number": "207-973-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 STATE ST",
"address_2": "STE 400",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-942-6096",
"fax_number": "207-973-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLEY",
"first_name": "RUTH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "ME",
"license": "015673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4320121799",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "061678",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.