Active NPI
Meaghan E. Daly, MD
- Dermatology Physician
- Yarmouth, ME
National Provider Identifier
1609196450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD20183
- Practice address
- 259 Main St
Yarmouth, ME 04096-6723 - Phone
- (207) 523-3900
- Fax
- (207) 523-8593
- NPI assigned
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LP01920 | RI | |
| Dermatology Physician | 207N00000X | MD20183 | ME | Primary |
Addresses
Primary practice location
259 Main St
Yarmouth, ME 04096-6723
Mailing address
100 Gannett Dr
Suite C
South Portland, ME 04106-5900
Phone (207) 828-0361
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140724000303 | ME | Practitioner - Dermatology | 9931325123 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Columbia University College of Physicians and Surgeons, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Presumpscot St
Unit BTW
Portland, ME 04103-5225
Phone (978) 691-5690
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 225 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 105 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP01920 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neda at North Shore PC | Dermatology | Current | Accepting new patients |
| Northeast Dermatology Associates, PC | Current | Accepting new patients |
Locations
125 Presumpscot St
Unit 18
Portland, ME 04103
125 Presumpscot St
Unit Btw
Portland, ME 04103
519 US Route 1
Unit 2
York, ME 03909
Phone (207) 351-1266
Interoperability endpoints
- mdalymd@nedermatology.emadirect.md
- meaghan.daly@pd.eclinicaldirectplus.com
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1609196450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GANNETT DR",
"address_2": "SUITE C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065900",
"telephone_number": "207-828-0361",
"fax_number": "207-874-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 MAIN ST",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966723",
"telephone_number": "207-523-3900",
"fax_number": "207-523-8593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "MEAGHAN",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP01920",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "ME",
"license": "MD20183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.