NPIMap

Individual provider Active NPI

Jiana Menendez, MD

  • Family Medicine Physician
  • Falmouth, ME
National Provider Identifier
1720433394
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD27550 Issued in ME
Practice address
5 Bucknam Rd Ste 2C
Falmouth, ME 04105-1209
Phone
(207) 781-1500
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 299729 NY
Family Medicine Physician 207Q00000X MD27550 ME Primary

Addresses

Primary practice location

5 Bucknam Rd Ste 2C
Falmouth, ME 04105-1209

Mailing address

5 Bucknam Rd Ste 2C
Falmouth, ME 04105-1209
Phone (207) 781-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612004179 ME Practitioner - Family Practice 8022354992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Icahn School of Medicine at Mount Sinai, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Family Planning Association of Maine IncGroup PAC ID 6800037581, 13 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

43 Gabriel Dr
Augusta, ME 04330-7852
Phone (207) 248-3927

5 Bucknam Rd
Falmouth, ME 04105-1209

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27550MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Family Planning Association of Maine Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Mainehealth CurrentSince Jun 13, 2024 Accepting new patients
Mainehealth CurrentSince Jun 13, 2024 Accepting new patients
Family Planning Association of Maine Inc CurrentSince Jul 1, 2024 Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. PastSince Dec 1, 2020 Accepting new patients

Locations

43 Gabriel Dr
Augusta, ME 04330
Phone (207) 248-3927

179 Lisbon St
Lewiston, ME 04240
Phone (207) 783-1043

5 Bucknam Rd
Ste 2C
Portland, ME 04105
Phone (207) 781-1500

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: jiana.menendez.1@3508.direct.athenahealth.com
  • Direct secure messaging: jmenendez712746@direct.mmc.mainehealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1720433394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BUCKNAM RD STE 2C",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051209",
            "telephone_number": "207-781-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BUCKNAM RD STE 2C",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051209",
            "telephone_number": "207-781-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ",
        "first_name": "JIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "299729",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD27550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.