NPIMap

Individual provider Active NPI

Shadab Saboori, MD, MPH

  • Gastroenterology Physician
  • Portland, ME
National Provider Identifier
1558865790
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD27959 Issued in ME
Practice address
155 Fore River Pkwy Ste 1301
Portland, ME 04102-2795
Phone
(207) 535-1100
Fax
(207) 879-8787
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD27959 ME Primary

Addresses

Primary practice location

155 Fore River Pkwy Ste 1301
Portland, ME 04102-2795

Mailing address

66 Rosemont Ave
Portland, ME 04103-2459
Phone (404) 421-7903

Other practice location 1

1350 S Kings Dr Fl 3
Charlotte, NC 28207-2134
Phone (704) 446-1242

Other practice location 2

9 Healthcare Dr Ste 202
Biddeford, ME 04005-9450
Phone (207) 283-1427

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
I20240729002202 ME Practitioner - Gastroenterology 6204183841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
60.7
Promoting interoperability
91
Improvement activities
40
Cost
73.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy36
Upper gastrointestinal (GI) endoscopy for acid reflux61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27959MEMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 1, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Mercy Hospital Current Accepting new patients
Mercy Hospital CurrentSince Sep 1, 2024 Accepting new patients
Mercy Hospital CurrentSince Sep 1, 2024 Accepting new patients
Mainehealth CurrentSince Sep 1, 2024 Accepting new patients

Locations

9 Healthcare Dr
Ste 202
Biddeford, ME 04005
Phone (207) 283-1427

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

155 Fore River Pkwy
Ste 1301
Portland, ME 04102
Phone (207) 535-1100

155 Fore River Pkwy
Ste 130
Portland, ME 04102
Phone (207) 535-1100

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

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Interoperability endpoints

  • Direct secure messaging: ssaboori881174@direct.mmc.mainehealth.org

Organizations & group practices 6

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1558865790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 ROSEMONT AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032459",
            "telephone_number": "404-421-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 FORE RIVER PKWY STE 1301",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022795",
            "telephone_number": "207-535-1100",
            "fax_number": "207-879-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 S Kings Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072134",
            "country_code": "US",
            "telephone_number": "704-446-1242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Healthcare Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059450",
            "country_code": "US",
            "telephone_number": "207-283-1427",
            "fax_number": "207-294-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABOORI",
        "first_name": "SHADAB",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "MD27959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.