NPIMap

Individual provider Active NPI

Jacob Andrew Ledesma, MD

  • Internal Medicine Physician
  • Rumford, ME
National Provider Identifier
1497753271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
015612 Issued in ME
Practice address
431 Franklin St
Rumford, ME 04276-2100
Phone
(207) 364-7831
Fax
(207) 369-9467
NPI assigned
Jul 14, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 015612 ME Primary

Addresses

Primary practice location

431 Franklin St
Rumford, ME 04276-2100

Mailing address

431 Franklin St
Rumford, ME 04276-2100
Phone (207) 364-7831

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
I20050601000157 ME Practitioner - Internal Medicine 7113969114 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians
Rumford HospitalGroup PAC ID 3870583511, 37 clinicians

Practice addresses (Care Compare)

181 Franklin Health CMNS
1W
Farmington, ME 04938-6144
Phone (207) 778-4922

420 Franklin St
Rumford, ME 04276-2104

430 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Merit-based Incentive Payment System (MIPS)

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

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

State licenses

LicenseStateTypeSpecialty
015612MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 13, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Jan 11, 2017 Accepting new patients
Bridgton Hospital CurrentSince Sep 1, 2015 Accepting new patients
Rumford Hospital CurrentSince Aug 6, 2001 Accepting new patients
Bridgton Hospital CurrentSince Sep 1, 2015 Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Aug 6, 2001 Accepting new patients
Mainehealth CurrentSince Jan 13, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Jan 11, 2017 Accepting new patients
Mainehealth Current Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Aug 6, 2001 Accepting new patients
Mainehealth CurrentSince Aug 8, 2025 Accepting new patients
Rumford Hospital CurrentSince Aug 6, 2001 Accepting new patients

Locations

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

181 Franklin Health Cmns
#1W
Farmington, ME 04938
Phone (207) 778-4922

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

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

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

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

430 Franklin St
Rumford, ME 04276
Phone (207) 369-0146

431 Franklin St
Rumford, ME 04276
Phone (207) 364-4031

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: jledesma102425@direct.mmc.mainehealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497753271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762100",
            "telephone_number": "207-364-7831",
            "fax_number": "207-369-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762100",
            "telephone_number": "207-364-7831",
            "fax_number": "207-369-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDESMA",
        "first_name": "JACOB",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "015612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rumford, ME

Sources for this page

Verify at the official NPI Registry.