Active NPI
David J Chalmers, M.D.
- Pediatric Urology Physician
- South Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- MD20180
- Practice address
- 100 Brickhill Ave
South Portland, ME 04106-1999 - Phone
- (207) 773-1728
- NPI assigned
- Aug 17, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | MD20180 | ME | Primary |
Addresses
Primary practice location
100 Brickhill Ave
South Portland, ME 04106-1999
Mailing address
190 Riverside St
Suite 6B
Portland, ME 04103-1073
Phone (207) 661-2000
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140711000244 | ME | Practitioner - Urology | 9931342177 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mainehealth
Practice addresses (Care Compare)
100 Brickhill Ave
South Portland, ME 04106-1999
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
92 Campus Dr
Scarborough, ME 04074-7229
Hospital & facility affiliations
- Mainehealth Maine Medical Center
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4166 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Pediatric Urology | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
190 Riverside St
Unit 6B
Portland, ME 04103
49 Spring St
Scarborough, ME 04074
Phone (207) 883-1414
96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491
100 Brickhill Ave
South Portland, ME 04106
Phone (207) 773-1728
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Interoperability endpoints
- dchalmers101952@direct.mmc.mainehealth.org
Organizations & group practices 9
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.
-
- Neurology Physician
- Scarborough, ME
- NPI 1215269626
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1669665196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 RIVERSIDE ST",
"address_2": "SUITE 6B",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041031073",
"telephone_number": "207-661-2000",
"fax_number": "207-661-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BRICKHILL AVE",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061999",
"telephone_number": "207-773-1728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALMERS",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-17",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "ME",
"license": "MD20180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.