Individual provider Active NPI

Dorothy Alonso Carin, MD

  • Family Medicine Physician
  • Brooks, ME
National Provider Identifier
1750404596
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD20261 Issued in ME
Practice address
55 Reynolds Rd
Box 159
Brooks, ME 04921-3637
Phone
(207) 722-3488
Fax
(207) 722-3183
NPI assigned
Apr 9, 2007
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4395 AK
Family Medicine Physician 207Q00000X A63012 CA
Family Medicine Physician 207Q00000X MD28132 OR
Family Medicine Physician 207Q00000X MD20261 ME Primary

Addresses

Primary practice location

55 Reynolds Rd
Box 159
Brooks, ME 04921-3637

Mailing address

55 Reynolds Rd
Box 159
Brooks, ME 04921-3637
Phone (207) 722-3488

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150107001059 ME Practitioner - Family Practice 7315013166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4395AKMDFamily Medicine Physician
A63012CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Dec 2, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Sep 2, 2014 Accepting new patients
Mainehealth CurrentSince Dec 2, 2018 Accepting new patients
Waldo County General Hospital Past Accepting new patients
Mainehealth Family Medicine Past Accepting new patients
Waldo County General Hospital Past Accepting new patients

Locations

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

55 Reynolds Rd
#159
Brooks, ME 04921
Phone (207) 722-3488

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

Interoperability endpoints

  • Direct secure messaging: dcarin108593@direct.mmc.mainehealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1750404596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 REYNOLDS RD",
            "address_2": "BOX 159",
            "city": "BROOKS",
            "state": "ME",
            "postal_code": "049213637",
            "telephone_number": "207-722-3488",
            "fax_number": "207-722-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 REYNOLDS RD",
            "address_2": "BOX 159",
            "city": "BROOKS",
            "state": "ME",
            "postal_code": "049213637",
            "telephone_number": "207-722-3488",
            "fax_number": "207-722-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIN",
        "first_name": "DOROTHY",
        "middle_name": "ALONSO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "4395",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63012",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD28132",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD20261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooks, ME

Sources for this page

Verify at the official NPI Registry.