Active NPI
David N Abisalih, MD
- Cardiovascular Disease Physician
- Skowhegan, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD13293
- Practice address
- 61 Fairview Ave
Skowhegan, ME 04976-1403 - Phone
- (207) 858-8121
- Fax
- (207) 474-3648
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD13293 | ME | Primary |
Addresses
Primary practice location
61 Fairview Ave
Skowhegan, ME 04976-1403
Mailing address
PO Box 468
Skowhegan, ME 04976-0468
Phone (207) 474-5121
Other practice location 1
96 Campus Dr Ste 1
Scarborough, ME 04074-7164
Phone (207) 885-9905
Other practice location 2
111 Franklin Health Cmns
Farmington, ME 04938-6144
Phone (207) 779-2734
Other practice location 3
46 Fairview Ave
Skowhegan, ME 04976-1481
Phone (207) 474-5121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710967153 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients |
Locations
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
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Portland, ME
- NPI 1104921535
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1710967153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 468",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049760468",
"telephone_number": "207-474-5121",
"fax_number": "207-474-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 FAIRVIEW AVE",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049761403",
"telephone_number": "207-858-8121",
"fax_number": "207-474-3648"
}
],
"practiceLocations": [
{
"address_1": "96 Campus Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Scarborough",
"state": "ME",
"postal_code": "040747164",
"country_code": "US",
"telephone_number": "207-885-9905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Franklin Health Cmns",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "ME",
"postal_code": "049386144",
"country_code": "US",
"telephone_number": "207-779-2734",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "46 Fairview Ave",
"address_purpose": "LOCATION",
"city": "Skowhegan",
"state": "ME",
"postal_code": "049761481",
"country_code": "US",
"telephone_number": "207-474-5121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABISALIH",
"first_name": "DAVID",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ME",
"license": "MD13293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710967153",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skowhegan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.