Individual provider Active NPI

Annabelle Rae Chua Norwood, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Portland, ME
National Provider Identifier
1619256930
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD20912 Issued in ME
Practice address
66 Bramhall St
Portland, ME 04102-3344
Phone
(207) 662-3157
Fax
(207) 662-6434
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD20912 ME
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD20912 ME Primary

Addresses

Primary practice location

66 Bramhall St
Portland, ME 04102-3344

Mailing address

66 Bramhall St
Suite G1
Portland, ME 04102-3344
Phone (207) 661-2000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712002427 ME Practitioner - Geriatric MedicinePractitioner - Internal Medicine 8224356308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

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
MD20912MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 1, 2016 Accepting new patients
Maine Medical Partners CurrentSince Jul 1, 2016 Accepting new patients
Maine Medical Partners CurrentSince Jul 1, 2016 Accepting new patients
Maine Medical Partners Internal Medicine Current Accepting new patients
Mainehealth CurrentSince Jul 1, 2016 Accepting new patients

Locations

181 Main St
Norway, ME 04268
Phone (207) 743-5933

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

66 Bramhall St
Portland, ME 04102
Phone (207) 662-3157

66 Bramhall St
Ste G1
Portland, ME 04102
Phone (207) 662-2847

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: achua141480@direct.mmc.mainehealth.org

Organizations & group practices 5

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1619256930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BRAMHALL ST",
            "address_2": "SUITE G1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023344",
            "telephone_number": "207-661-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023344",
            "telephone_number": "207-662-3157",
            "fax_number": "207-662-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORWOOD",
        "first_name": "ANNABELLE RAE",
        "middle_name": "CHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD20912",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "MD20912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.