NPIMap

Individual provider Active NPI

Evan J Dunn, M.D.

  • Urology Physician
  • Lewiston, ME
National Provider Identifier
1790928570
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD21651 Issued in ME
Practice address
287 Main St Ste 404
Lewiston, ME 04240-7056
Phone
(207) 795-2171
Fax
(207) 795-8330
NPI assigned
Apr 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD21651 ME Primary

Addresses

Primary practice location

287 Main St Ste 404
Lewiston, ME 04240-7056

Mailing address

287 Main St Ste 404
Lewiston, ME 04240-7056
Phone (207) 795-2171

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
I20170726000638 ME Practitioner - Urology 2668794678 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Tennessee, HSC, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

105 Topsham Fair Mall Rd
Topsham, ME 04086-1773
Phone (207) 798-6300

12 High St
Suite 200
Lewiston, ME 04240-7689
Phone (207) 795-5770

300 Main St
Lewiston, ME 04240-7027
Phone (207) 753-3900

730 Ctr St
Suite 9
Auburn, ME 04210-6316
Phone (207) 783-3450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21651MEMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince Aug 1, 2017 Accepting new patients
Central Maine Medical Center CurrentSince Aug 1, 2017 Accepting new patients
Bridgton Hospital CurrentSince Aug 1, 2017 Accepting new patients
Central Maine Medical Center CurrentSince Aug 1, 2017 Accepting new patients
Rumford Hospital CurrentSince Aug 1, 2017 Accepting new patients
Rumford Hospital CurrentSince Aug 1, 2017 Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

12 High St
Ste 401
Lewiston, ME 04240
Phone (207) 795-2494

287 Main St
Ste 404
Lewiston, ME 04240
Phone (207) 795-2171

12 High St
Ste 205
Lewiston, ME 04240
Phone (207) 795-2121

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790928570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 MAIN ST STE 404",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407056",
            "telephone_number": "207-795-2171",
            "fax_number": "207-795-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 MAIN ST STE 404",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407056",
            "telephone_number": "207-795-2171",
            "fax_number": "207-795-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "EVAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ME",
            "license": "MD21651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.