Mary Moran, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

036-065620 Issued in IL

Practice address

16 Fahey St Ste 202
Belfast, ME 04915-6029

Phone

(207) 930-6772

Fax

(207) 930-6709

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mainehealth

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1841397932
  Medicare reassignment NPD
• Penobscot Bay Physicians & Associates

  • Multi-Specialty Clinic/Center
  • Rockport, ME
  • NPI 1497799720
  Medicare reassignment NPD
• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  NPD
• Mainehealth

  • Gynecologic Oncology Physician
  • Scarborough, ME
  • NPI 1851605455
  NPD

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1699729657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FAHEY ST STE 202",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156029",
            "telephone_number": "207-930-6772",
            "fax_number": "207-930-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FAHEY ST STE 202",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156029",
            "telephone_number": "207-930-6772",
            "fax_number": "207-930-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036-065620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-065620",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Wallace Mitchell Jr., RN
• Joanne Marie Moesswilde, FNP
• Lanae J. Moline, M.A., CCC-SLP/A
• Matthew Scott Molison, DO
• Benjamin Daniel Moore, MD
• Lyndon W Morgan, MD
• Morningstar Midwifery
• Michelle Louise Morrow, DMD
• Michelle Therese Moschkau, LCSW
• Colleen A Murphy, M.D.

• Rheumatology Physician in Belfast, ME
• Providers in Belfast, ME by specialty
• Rheumatology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.

Verify at the official NPI Registry.