Active NPI
John B Wahlig, MD
- Neurological Surgery Physician
- Portland, ME
National Provider Identifier
1790729051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD16536
- Practice address
- 195 Fore River Pkwy
Suite 490
Portland, ME 04102-2780 - Phone
- (207) 553-6054
- Fax
- (207) 553-6076
- NPI assigned
- Jun 16, 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD16536 | ME | Primary |
Addresses
Primary practice location
195 Fore River Pkwy
Suite 490
Portland, ME 04102-2780
Mailing address
195 Fore River Pkwy
Suite 490
Portland, ME 04102-2780
Phone (207) 553-6054
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30204407 | Medicaid | NH | |
| 410600099 | Medicaid | ME |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Columbia University College of Physicians and Surgeons, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
195 Fore River Pkwy
Suite 440
Portland, ME 04102-2788
Phone (207) 553-6054
40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174
Hospital & facility affiliations
- Northern Light Home Care & Hospice
- Northern Light Mercy Hospital
- Mainehealth Maine Medical Center
- Mainehealth Mid Coast Hospital
- Northern Light a R Gould Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.67 of 100
- Quality
- 60.7
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 73.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 98 |
| Laminectomy or laminotomy (partial removal of spine bones) | 55 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16536 | ME | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
195 Fore River Pkwy
Ste 490
Portland, ME 04102
Phone (207) 553-6054
195 Fore River Pkwy
Ste 440
Portland, ME 04102
Phone (207) 553-6920
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
Hospital & facility affiliations 41
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": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1790729051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 FORE RIVER PKWY",
"address_2": "SUITE 490",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022780",
"telephone_number": "207-553-6054",
"fax_number": "207-553-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 FORE RIVER PKWY",
"address_2": "SUITE 490",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022780",
"telephone_number": "207-553-6054",
"fax_number": "207-553-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHLIG",
"first_name": "JOHN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "ME",
"license": "MD16536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30204407",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410600099",
"state": "ME"
}
],
"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 Dec 12, 2013; 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.