Active NPI
Daniel S Oppenheim, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Scarborough, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD12692
- Practice address
- 175 US Route 1
Scarborough, ME 04074-9048 - Phone
- (207) 885-7700
- Fax
- (207) 885-7701
- NPI assigned
- Jul 2, 2006
- Last updated
- Feb 17, 2012
- Sex
- Male
- 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 | MD12692 | ME | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD12692 | ME | Primary |
Addresses
Primary practice location
175 US Route 1
Scarborough, ME 04074-9048
Mailing address
301 US Route 1
Scarborough, ME 04074-7609
Phone (207) 396-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271200099 | Medicaid | ME |
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
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Miami, LM Miller School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 US Route 1
Scarborough, ME 04074-9048
Phone (207) 396-7700
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Internal Medicine | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
102 Campus Dr
Unit 116
Scarborough, ME 04074
Phone (207) 883-0069
175 US Route 1
Scarborough, ME 04074
Phone (207) 396-7700
149 North St
Waterville, ME 04901
Phone (207) 622-1959
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
Interoperability endpoints
- doppenheim1035@direct.mmc.mainehealth.org
Organizations & group practices 6
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.
-
dba Maine Medical Partners Endocrinology & Diabetes Center
- Endocrinology, Diabetes & Metabolism Physician
- Scarborough, ME
- NPI 1447354899
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba MaineHealth Maine Medical Center
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
-
dba MaineHealth Medical Group-Primary Care
- Clinic/Center
- Portland, ME
- NPI 1487346722
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1659300515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747609",
"telephone_number": "207-396-8600",
"fax_number": "207-396-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749048",
"telephone_number": "207-885-7700",
"fax_number": "207-885-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPPENHEIM",
"first_name": "DANIEL",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD12692",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "ME",
"license": "MD12692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271200099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.