Active NPI
Robert L Pinsky, MD
- Infectious Disease Physician
- Ellsworth, ME
National Provider Identifier
1720056328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 010715
- Practice address
- 32 Resort Way
Ellsworth Internal Medicine
Ellsworth, ME 04605 - Phone
- (207) 664-5480
- Fax
- (207) 664-5490
- NPI assigned
- Mar 9, 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 010715 | ME | Primary |
Addresses
Primary practice location
32 Resort Way
Ellsworth Internal Medicine
Ellsworth, ME 04605
Mailing address
50 Union Street
Ellsworth, ME 04605
Phone (207) 664-7780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001641 | Other | ME | BLUECROSS |
| 225080099 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010715 | ME | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1720056328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 UNION STREET",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "04605",
"telephone_number": "207-664-7780",
"fax_number": "207-664-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 RESORT WAY",
"address_2": "ELLSWORTH INTERNAL MEDICINE",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "04605",
"telephone_number": "207-664-5480",
"fax_number": "207-664-5490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINSKY",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "ME",
"license": "010715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "001641",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225080099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.