Irene Djuanda, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

016837 Issued in ME

Practice address

163 Van Buren Rd
Caribou, ME 04736-3567

Phone

(207) 498-3111

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pines Health ServicesGroup PAC ID 0749275113, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Home Care & Hospice Hospice, South Portland, ME, CCN 201502
• Cary Medical Center Hospital, Caribou, ME, CCN 200031

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: idjuanda376972@direct.ochin.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• City of Caribou

  • General Acute Care Hospital
  • Caribou, ME
  • NPI 1780615492

  Corporate Officer

  CMS ownership

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.

• Pines Health Services

  • Internal Medicine Physician
  • Caribou, ME
  • NPI 1942277819
  Medicare reassignment Care Compare group NPD
• Pines Health Services

  • Federally Qualified Health Center (FQHC)
  • Washburn, ME
  • NPI 1922449834
  NPD
• City of Caribou

  • General Acute Care Hospital
  • Caribou, ME
  • NPI 1780615492
  NPD (past)

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

• City of Caribou

  • General Acute Care Hospital
  • Caribou, ME
  • NPI 1780615492
  Care Compare affiliation
• Vna Home Health & Hospice

  • Community Based Hospice Care Agency
  • South Portland, ME
  • NPI 1578683280
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1629046537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360040",
            "telephone_number": "207-498-2359",
            "fax_number": "207-498-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363567",
            "telephone_number": "207-498-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJUANDA",
        "first_name": "IRENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "016837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Brigitte Deschenes, P.T.
• Tammy L. Deveau, LMSW-CC
• Brad Devincentis, LSW-C,CADC,MHRTC,BHP
• Susan Cambridge Dick, OTR L
• Greg Disy, MSW-LCSW
• Kaysie Nichole Dobson
• Nickolas Jacob Dobson, PHARMD
• Gail A. Dodd, LADC
• Gail M Donovan, LADC
• Megan Doody, LMSW-CC

• Internal Medicine Physician in Caribou, ME
• Providers in Caribou, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.