Individual provider Active NPI

Jennifer Scontras, MD

  • Family Medicine Physician
  • Gorham, ME
National Provider Identifier
1659908101
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD28079 Issued in ME
Practice address
575 Main St
Gorham, ME 04038-2623
Phone
(207) 839-2559
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 MD28079 ME Primary

Addresses

Primary practice location

575 Main St
Gorham, ME 04038-2623

Mailing address

PO Box 9746
Portland, ME 04104-5040
Phone (207) 839-2559

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.scontras.1@5857.direct.athenahealth.com Direct

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
I20240903003757 ME Practitioner - Family Practice 3971924820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin'S Point Health Care, Inc.Group PAC ID 5991776635, 91 clinicians

Practice addresses (Care Compare)

575 Main St
Gorham, ME 04038-2623
Phone (207) 839-2559

Hospital & facility affiliations

  • Northern Light Home Care & Hospice Hospice, South Portland, ME, CCN 201502
  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28079MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin'S Point Health Care, Inc. Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Spectrum Healthcare Partners, P.a. PastSince Sep 9, 2024 Accepting new patients
Fletcher Allen Health Care Inc PastSince Mar 1, 2020 Accepting new patients

Locations

575 Main St
Gorham, ME 04038
Phone (207) 839-2559

575 Main St
Ste 101
Gorham, ME 04038

331 Veranda St
Portland, ME 04103
Phone (207) 774-5801

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.scontras.1@5857.direct.athenahealth.com

Organizations & group practices 3

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1659908101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9746",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045040",
            "telephone_number": "207-839-2559",
            "fax_number": "207-523-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382623",
            "telephone_number": "207-839-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCONTRAS",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD28079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.scontras.1@5857.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "575 Main St",
            "city": "Gorham",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040382623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

Verify at the official NPI Registry.