Active NPI
Randolph H Helmholz, MD
- Surgery Physician
- Belfast, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 039876
- Practice address
- 116 Northport Ave
Suite 220
Belfast, ME 04915-6095 - Phone
- (207) 930-6751
- Fax
- (207) 930-6753
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 039876 | CT | Primary |
Addresses
Primary practice location
116 Northport Ave
Suite 220
Belfast, ME 04915-6095
Mailing address
116 Northport Ave
Suite 220
Belfast, ME 04915-6095
Phone (207) 930-6751
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010039876CT02 | Other | CT | BCBS |
| 001398769 | Medicaid | CT | |
| P00227874 | Other | CO | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Minnesota Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.28 of 100
- Quality
- 58.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.48
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 039876 | CT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Gifford Medical Center Inc. | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Gifford Medical Center Inc | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients | |
| Waldo County General Hospital | Past | Accepting new patients | |
| Penobscot Valley Hospital | Past | Accepting new patients |
Locations
116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015
16 Fahy St
Ste 202
Belfast, ME 04915
Phone (207) 505-4603
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
44 S Main St
Randolph, VT 05060
Phone (802) 728-4441
Interoperability endpoints
- https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/penob-eadbba22
- rhelmholz101138@direct.mmc.mainehealth.org
Organizations & group practices 9
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Critical Access Hospital
- Belfast, ME
- NPI 1841397932
-
- General Acute Care Hospital
- Randolph, VT
- NPI 1942329446
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Gynecologic Oncology Physician
- Scarborough, ME
- NPI 1851605455
-
- Medicare Defined Swing Bed Hospital Unit
- Randolph, VT
- NPI 1013928068
-
- Clinic/Center
- Portland, ME
- NPI 1487346722
-
- Critical Access Hospital
- Lincoln, ME
- NPI 1093716086
-
- Ambulance
- Brooks, ME
- NPI 1508931429
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Belfast, ME
- NPI 1841397932
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1982645305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1518931963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 NORTHPORT AVE",
"address_2": "SUITE 220",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156095",
"telephone_number": "207-930-6751",
"fax_number": "207-930-6753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 NORTHPORT AVE",
"address_2": "SUITE 220",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156095",
"telephone_number": "207-930-6751",
"fax_number": "207-930-6753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELMHOLZ",
"first_name": "RANDOLPH",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "039876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010039876CT02",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001398769",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00227874",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belfast, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.