NPIMap

Individual provider Active NPI

Jason A Yahwak, M.D.

  • Pulmonary Disease Physician
  • South Portland, ME
National Provider Identifier
1598868747
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
15752 Issued in ME
Practice address
100 Foden Road
West Building Suite 103
South Portland, ME 04106
Phone
(207) 828-1122
Fax
(207) 828-0188
NPI assigned
Sep 6, 2006
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 15752 ME Primary
Pulmonary Disease Physician 207RP1001X 22296 NH

Addresses

Primary practice location

100 Foden Road
West Building Suite 103
South Portland, ME 04106

Mailing address

100 Foden Road
West Building Suite 103
South Portland, ME 04106
Phone (207) 828-1122

Other practice location 1

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-4914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050607001119 ME Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5597749093 Reassigns benefits to 8 organizations
I20220808002720 NH Practitioner - Pulmonary Disease 5597749093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Creighton University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chest Medicine Associates PAGroup PAC ID 0547258931, 30 clinicians
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians

Practice addresses (Care Compare)

100 Foden Rd
Suite 103
South Portland, ME 04106-2327
Phone (207) 828-1122

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

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

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
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

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

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
15752MEMDPulmonary Disease Physician
22296NHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 1, 2022 Accepting new patients
Millinocket Regional Hospital CurrentSince Apr 25, 2018 Accepting new patients
Down East Community Hospital CurrentSince Sep 6, 2025 Accepting new patients
Mainehealth CurrentSince Jan 1, 2022 Accepting new patients
Calais Community Hospital CurrentSince Sep 23, 2021 Accepting new patients
Chest Medicine Associates, PA Pulmonary Disease CurrentSince Jul 20, 2002 Accepting new patients
Calais Community Hospital CurrentSince Sep 23, 2021 Accepting new patients
Down East Community Hospital CurrentSince Sep 6, 2025 Accepting new patients
Millinocket Regional Hospital CurrentSince Apr 25, 2018 Accepting new patients
Mercy Hospital CurrentSince Feb 26, 2018 Accepting new patients
Memorial Hospital Current Accepting new patients
Mainehealth Current Accepting new patients
Calais Community Hospital CurrentSince Sep 6, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Chest Medicine Associates, PA Pulmonary Disease PastSince Jul 24, 2022 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. Past Accepting new patients

Locations

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

200 Somerset St
Millinocket, ME 04462
Phone (207) 723-3003

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

100 Foden Rd
#103
South Portland, ME 04106
Phone (207) 828-1122

100 Foden Rd
Ste 103
South Portland, ME 04106
Phone (207) 828-1122

100 Foden Rd
Ste W-103
South Portland, ME 04106
Phone (207) 772-2625

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jason.yahwak@direct.cma.nextgenshare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1598868747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FODEN ROAD",
            "address_2": "WEST BUILDING SUITE 103",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-828-1122",
            "fax_number": "207-828-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FODEN ROAD",
            "address_2": "WEST BUILDING SUITE 103",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-828-1122",
            "fax_number": "207-828-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-4914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAHWAK",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ME",
            "license": "15752",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NH",
            "license": "22296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.