Individual provider Active NPI

David N Abisalih, MD

  • Cardiovascular Disease Physician
  • Skowhegan, ME
National Provider Identifier
1710967153
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD13293 Issued in ME
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

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1710967153MedicaidME

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.