Active NPI
Robert Brian Taylor, DPM
- Podiatrist
- Portland, ME
National Provider Identifier
1659308971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD1055
- Practice address
- 1250 Forest Ave
Suite 303
Portland, ME 04103-1889 - Phone
- (207) 772-8962
- Fax
- (207) 775-0161
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD1055 | ME | Primary |
Addresses
Primary practice location
1250 Forest Ave
Suite 303
Portland, ME 04103-1889
Mailing address
1250 Forest Ave
Suite 303
Portland, ME 04103-1889
Phone (207) 772-8962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432220599 | 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: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060504000269 | ME | Practitioner - Podiatry | 3375561475 | Practice locations: Portland, ME |
| O20100930027266 | ME | DME Supplier - Physician - Podiatry | 1355460346 | Practice locations: Portland, ME |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1250 Forest Ave
Portland, ME 04103-1889
Phone (207) 772-8962
1250 Forest Ave
Suite 303
Portland, ME 04103-1884
Hospital & facility affiliations
- Mainehealth Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 90.34
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 46 |
| Removal of skin lesions | 19 |
| Removal of nail tissue | 3066 |
| Removal or shaving of skin growth | 871 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD1055 | ME | MD | Podiatrist |
| 0347 | NH | MD | Speech-Language Pathologist |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIGECA/Endpoint/FIGECA
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1659308971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 FOREST AVE",
"address_2": "SUITE 303",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041031889",
"telephone_number": "207-772-8962",
"fax_number": "207-775-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 FOREST AVE",
"address_2": "SUITE 303",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041031889",
"telephone_number": "207-772-8962",
"fax_number": "207-775-0161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ROBERT",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "ME",
"license": "POD1055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432220599",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.