NPIMap

Individual provider Active NPI

John Nikolhaus Smith, MD

  • Cardiovascular Disease Physician
  • Westbrook, ME
National Provider Identifier
1639523194
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD27190 Issued in ME
Practice address
1 Riverfront PLZ
Westbrook, ME 04092-2986
Phone
(207) 885-9905
NPI assigned
Apr 20, 2016
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0089835 MD
Cardiovascular Disease Physician 207RC0000X MD27190 ME Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD27190 ME

Addresses

Primary practice location

1 Riverfront PLZ
Westbrook, ME 04092-2986

Mailing address

1 Riverfront PLZ
Westbrook, ME 04092-2986
Phone (207) 885-9905

Other practice location 1

1800 Orleans Street
The Johns Hopkins Hospital
Baltimore, MD 21287
Phone (410) 955-7911

Other practice location 2

96 Campus Dr Ste 1
Scarborough, ME 04074-7164
Phone (207) 885-9905

Other practice location 3

71 US Route 1 Ste C
Scarborough, ME 04074-7174
Phone (207) 318-8426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, ME, NH4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20201204000022 MD Practitioner - Internal Medicine 0547569048 Reassigns benefits to 1 organization
I20230717000928 DC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0547569048 Reassigns benefits to 1 organization
I20240219001917 ME Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547569048 Reassigns benefits to 2 organizations
I20240318002388 NH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547569048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Boston University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

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

96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0089835MDMDInternal Medicine Physician
MD27190MEMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Feb 5, 2024 Accepting new patients
Mainehealth CurrentSince Feb 5, 2024 Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2020 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Jun 3, 2023 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Feb 12, 2024 Accepting new patients
St. Mary's Regional Medical Center Current Accepting new patients
Mainehealth Current Accepting new patients
Johns Hopkins University Cardiovascular Disease CurrentSince Nov 1, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients
St. Mary's Regional Medical Center CurrentSince Feb 12, 2024 Accepting new patients
Mainehealth Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

4940 Eastern Ave
Baltimore, MD 21224

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

600 N Wolfe St
Baltimore, MD 21287

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

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

71 US Route 1
Ste C
Scarborough, ME 04074
Phone (207) 883-5532

96 Campus Dr
Ste 1
Scarborough, ME 04074
Phone (207) 396-5611

Interoperability endpoints

  • Direct secure messaging: jsmith669270@direct.mmc.mainehealth.org

Organizations & group practices 13

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 13

Hospital & facility affiliations 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1639523194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVERFRONT PLZ",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922986",
            "telephone_number": "207-885-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERFRONT PLZ",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922986",
            "telephone_number": "207-885-9905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Orleans Street",
            "address_2": "The Johns Hopkins Hospital",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21287",
            "country_code": "US",
            "telephone_number": "410-955-7911",
            "fax_number": "410-955-0374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Campus Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747164",
            "country_code": "US",
            "telephone_number": "207-885-9905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 US Route 1 Ste C",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747174",
            "country_code": "US",
            "telephone_number": "207-318-8426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "NIKOLHAUS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0089835",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "MD27190",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "ME",
            "license": "MD27190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.