Active NPI
Robert Kysela, D.O.
- Psychiatry Physician
- Portland, ME
National Provider Identifier
1710364617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO2921
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (303) 912-3166
- NPI assigned
- Apr 29, 2015
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO2921 | ME | Primary |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
216 Vaughan St
Portland, ME 04102-3204
Phone (207) 662-1640
Other practice location 1
216 Vaughan St
Portland, ME 04102-3204
Phone (207) 662-1640
Other practice location 2
165 Lancaster St
Portland, ME 04101-2406
Phone (207) 874-1030
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rkysela@mmc.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
165 Lancaster St
Portland, ME 04101-2406
Phone (207) 874-1030
216 Vaughan St
Portland, ME 04102-3204
Phone (207) 662-2221
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2921 | ME | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
165 Lancaster St
Portland, ME 04101
Phone (207) 874-1030
216 Vaughan St
Portland, ME 04102
Phone (207) 662-2221
Interoperability endpoints
- rkysela109498@direct.mmc.mainehealth.org
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- 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.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1710364617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 VAUGHAN ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023204",
"telephone_number": "207-662-1640",
"fax_number": "207-662-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "303-912-3166"
}
],
"practiceLocations": [
{
"address_1": "216 Vaughan St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023204",
"country_code": "US",
"telephone_number": "207-662-1640",
"fax_number": "207-662-5041",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "165 Lancaster St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041012406",
"country_code": "US",
"telephone_number": "207-874-1030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KYSELA",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-29",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "DO2921",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rkysela@mmc.org",
"affiliation": "N",
"endpointDescription": "office email",
"address_1": "216 Vaughan St",
"city": "Portland",
"state": "ME",
"country_code": "US",
"postal_code": "041023204",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.