NPIMap

Individual provider Active NPI

Sarah L Ketchum, M.D.

  • Hematology & Oncology Physician
  • South Portland, ME
National Provider Identifier
1689781536
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25618 Issued in NH
Practice address
265 Western Ave
South Portland, ME 04106-2458
Phone
(207) 661-0200
NPI assigned
Aug 25, 2006
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 017416 ME
Hematology & Oncology Physician 207RH0003X 25618 NH Primary

Addresses

Primary practice location

265 Western Ave
South Portland, ME 04106-2458

Mailing address

94 Gray St
Portland, ME 04102-3847
Phone (207) 879-3030

Other practice location 1

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-4904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070911000327 ME Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0648363366 Reassigns benefits to 4 organizations
I20240725002283 NH Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0648363366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2001
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

Practice addresses (Care Compare)

100 Campus Dr
Scarborough, ME 04074-7172

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

265 Western Ave
Suite 2
South Portland, ME 04106-2458
Phone (207) 396-7606

Hospital & facility affiliations

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 Medicine

State licenses

LicenseStateTypeSpecialty
017416MEMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Dec 1, 2018 Accepting new patients
Maine Medical Partners Current Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners Hematology & Oncology CurrentSince Dec 1, 2018 Accepting new patients
Mercy Hospital CurrentSince Aug 27, 2007 Accepting new patients
Mercy Hospital CurrentSince Aug 27, 2007 Accepting new patients
Memorial Hospital CurrentSince May 21, 2024 Accepting new patients
Mainehealth CurrentSince Dec 1, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Memorial Hospital CurrentSince May 21, 2024 Accepting new patients
Mainehealth Past Accepting new patients

Locations

159 Main St
Norway, ME 04268
Phone (207) 743-2945

195 Fore River Pkwy
Ste 360
Portland, ME 04102
Phone (207) 553-6868

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

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

265 Western Ave
South Portland, ME 04106
Phone (207) 661-0200

265 Western Ave
Ste 2
South Portland, ME 04106
Phone (207) 661-0200

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

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

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

Interoperability endpoints

  • Direct secure messaging: sketchum239312@direct.mmc.mainehealth.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1689781536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 GRAY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023847",
            "telephone_number": "207-879-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062458",
            "telephone_number": "207-661-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-4904",
            "fax_number": "603-356-0842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETCHUM",
        "first_name": "SARAH",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ME",
            "license": "017416",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": "25618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.