Individual provider Active NPI

Andrew Keibel, MD

  • Cardiovascular Disease Physician
  • Scarborough, ME
National Provider Identifier
1669715884
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD27031 Issued in ME
Practice address
96 Campus Dr
Scarborough, ME 04074-7163
Phone
(207) 885-9905
Fax
(207) 396-5600
NPI assigned
Apr 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22492 NH
Internal Medicine Physician 207R00000X MD27031 ME
Cardiovascular Disease Physician 207RC0000X MD27031 ME Primary

Addresses

Primary practice location

96 Campus Dr
Scarborough, ME 04074-7163

Mailing address

96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905

Other practice location 1

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-4835

Other identifiers 1

IdentifierTypeStateIssuer
AK3232267556OtherCAAK3232267556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220121002237 NH Practitioner - Cardiovascular Disease (Cardiology) 9335428184 Reassigns benefits to 1 organization
I20230919001288 ME Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335428184 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Drexel University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8100

96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Memorial Hospital, the Hospital, North Conway, NH, CCN 301307
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021
  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039
  • Mainehealth Stephens Hospital Hospital, Norway, ME, CCN 201315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134459CAMDMarriage & Family Therapist
22492NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Apr 25, 2024 Accepting new patients
Memorial Hospital Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Apr 25, 2024 Accepting new patients
Wentworth Douglass Physician Corporation Cardiovascular Disease CurrentSince Jan 3, 2022 Accepting new patients
Maine Medical Partners Cardiovascular Disease CurrentSince Aug 14, 2023 Accepting new patients
Maine Medical Partners Current Accepting new patients
Mainehealth CurrentSince Aug 14, 2023 Accepting new patients
St. Mary'S Regional Medical Center Current Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Aug 14, 2023 Accepting new patients
Mainehealth CurrentSince Aug 14, 2023 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 3, 2022 Accepting new patients
Mainehealth Past Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

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

96 Campus Dr
Ste 1
Scarborough, ME 04074
Phone (207) 396-5611

96 Campus Dr
Scarborough, ME 04074
Phone (207) 885-9905

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

19 Old Rollinsford Rd
Bldg B
Dover, NH 03820
Phone (603) 516-4265

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

67 Corporate Dr
Fl 2
Portsmouth, NH 03801
Phone (603) 610-8078

Interoperability endpoints

  • Direct secure messaging: akeibel2466720@direct.bsmhealth.org
  • Direct secure messaging: akeibel594915@direct.mmc.mainehealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1365206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1669715884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CAMPUS DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747163",
            "telephone_number": "207-885-9905",
            "fax_number": "207-396-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CAMPUS DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747163",
            "telephone_number": "207-885-9905",
            "fax_number": "207-396-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-4835",
            "fax_number": "603-356-2604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEIBEL",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-06",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "22492",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD27031",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "MD27031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AK3232267556",
            "identifier": "AK3232267556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.