Individual provider Active NPI

Claudia Winograd Heise, M.D. PH.D.

  • Family Medicine Physician
  • Scarborough, ME
National Provider Identifier
1649616319
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD21296 Issued in ME
Practice address
20 Mussey Rd
Ste 2
Scarborough, ME 04074-9570
Phone
(207) 535-1880
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD21296 ME Primary

Addresses

Primary practice location

20 Mussey Rd
Ste 2
Scarborough, ME 04074-9570

Mailing address

20 Mussey Rd Ste 2
Scarborough, ME 04074-9570
Phone (207) 885-1333

Other names 1

  • Claudia Winograd Former name

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
I20161018001981 ME Practitioner - Family Practice 4385874973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whole Medicine LLCGroup PAC ID 6800206996, 2 clinicians

Practice addresses (Care Compare)

20 Mussey Rd
Suite 2
Scarborough, ME 04074-9570
Phone (207) 885-1333

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21296MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Medicine LLC Family Medicine CurrentSince Jun 20, 2020 Accepting new patients

Locations

20 Mussey Rd
Ste 2
Scarborough, ME 04074
Phone (207) 885-1333

Organizations & group practices 1

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.

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1649616319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MUSSEY RD STE 2",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749570",
            "telephone_number": "207-885-1333",
            "fax_number": "207-885-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MUSSEY RD",
            "address_2": "STE 2",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749570",
            "telephone_number": "207-535-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISE",
        "first_name": "CLAUDIA",
        "middle_name": "WINOGRAD",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD21296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "WINOGRAD",
            "credential": "MD PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.