Active NPI
Robert S Juris, D.P.M.
- Foot Surgery Podiatrist
- Portland, ME
National Provider Identifier
1780650408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- POD226
- Practice address
- 68 Marginal Way
4TH Fllor
Portland, ME 04101-2444 - Phone
- (207) 879-1339
- Fax
- (207) 879-1092
- NPI assigned
- Feb 23, 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | POD226 | ME | Primary |
Addresses
Primary practice location
68 Marginal Way
4TH Fllor
Portland, ME 04101-2444
Mailing address
68 Marginal Way
4TH Floor
Portland, ME 04101-2444
Phone (207) 879-1339
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
63 Marginal Way
Suite 300
Portland, ME 04101-1964
Phone (207) 879-1339
Hospital & facility affiliations
- Mainehealth Maine Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 37 |
| Removal of nail tissue | 65 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD226 | ME | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Foot & Ankle, PA | Foot Surgery | Current | Accepting new patients |
Locations
63 Marginal Way
Ste 300
Portland, ME 04101
Phone (207) 879-1339
68 Marginal Way
Fl 4
Portland, ME 04101
Phone (207) 879-1339
68 Marginal Way
Portland, ME 04101
Phone (207) 879-1339
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1780650408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 MARGINAL WAY",
"address_2": "4TH FLOOR",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012444",
"telephone_number": "207-879-1339",
"fax_number": "207-879-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 MARGINAL WAY",
"address_2": "4TH FLLOR",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012444",
"telephone_number": "207-879-1339",
"fax_number": "207-879-1092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURIS",
"first_name": "ROBERT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "ME",
"license": "POD226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.