Individual provider Active NPI

Chris John Michalakes, DO

  • Emergency Medicine Physician
  • Rockport, ME
National Provider Identifier
1659464386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1628 Issued in ME
Practice address
6 Glen Cove Dr
Penobscot Bay Medical Center
Rockport, ME 04856
Phone
(207) 596-8314
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1628 ME Primary

Addresses

Primary practice location

6 Glen Cove Dr
Penobscot Bay Medical Center
Rockport, ME 04856

Mailing address

253 Cobb Rd
Camden, ME 04843-4331
Phone (207) 230-0087

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
I20050907000469 ME Practitioner - Emergency Medicine 9133151558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1628MEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Mainehealth CurrentSince Jul 26, 1999 Accepting new patients
Penobscot Bay Medical Center CurrentSince Jul 26, 1999 Accepting new patients

Locations

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

4 White St
Rockland, ME 04841
Phone (207) 594-6763

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

Interoperability endpoints

  • Direct secure messaging: cmichalakes37254@direct.mmc.mainehealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659464386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 COBB RD",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048434331",
            "telephone_number": "207-230-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "address_2": "PENOBSCOT BAY MEDICAL CENTER",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "04856",
            "telephone_number": "207-596-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALAKES",
        "first_name": "CHRIS",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "1628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.