Individual provider Active NPI

Rasha Hanafy, DO

  • Family Medicine Physician
  • Cumberland Foreside, ME
National Provider Identifier
1467501783
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1713 Issued in ME
Practice address
15 Sky View Dr
Cumberland Foreside, ME 04110-1472
Phone
(207) 489-7000
Fax
(207) 781-0004
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1713 ME
Family Medicine Physician 207Q00000X 1713 ME Primary

Addresses

Primary practice location

15 Sky View Dr
Cumberland Foreside, ME 04110-1472

Mailing address

11 Boynton Brook Rd
Saco, ME 04072-9379
Phone (207) 489-7000

Other identifiers 1

IdentifierTypeStateIssuer
404140099MedicaidME

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000205 ME Practitioner - Family Practice 4183618150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Sky View Dr
Cumberland Foreside, ME 04110-1472
Phone (207) 489-7000

Hospital & facility affiliations

  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1713MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rasha Y Hanafy, DO LLC Family Medicine CurrentSince Oct 29, 2019 Accepting new patients

Locations

15 Sky View Dr
Cumberland Foreside, ME 04110
Phone (207) 489-7000

Interoperability endpoints

  • Direct secure messaging: rasha.hanafy.1@20024.direct.athenahealth.com

Organizations & group practices 1

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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1467501783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BOYNTON BROOK RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729379",
            "telephone_number": "207-489-7000",
            "fax_number": "207-781-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SKY VIEW DR",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101472",
            "telephone_number": "207-489-7000",
            "fax_number": "207-781-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAFY",
        "first_name": "RASHA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1713",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404140099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland Foreside, ME

Sources for this page

Verify at the official NPI Registry.