Active NPI
Michele B Delenick, MD
- Internal Medicine Physician
- Biddeford, ME
National Provider Identifier
1821166786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 017734
- Practice address
- 11 Hills Beach Rd
Biddeford, ME 04005-9599 - Phone
- (207) 602-2358
- Fax
- (207) 602-5904
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 017734 | ME | Primary |
Addresses
Primary practice location
11 Hills Beach Rd
Biddeford, ME 04005-9599
Mailing address
PO Box 284
Brattleboro, VT 05302-0284
Phone (207) 602-2358
Other practice location 1
716 Stevens Ave
Portland, ME 04103-2693
Phone (207) 221-4242
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017734 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Medical Partners | Current | Accepting new patients | |
| University of New England | Past | Accepting new patients |
Locations
100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565
Organizations & group practices 2
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.
-
- Pediatric Hematology & Oncology Physician
- Scarborough, ME
- NPI 1073527388
-
- Family Medicine Physician
- Biddeford, ME
- NPI 1699752055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1821166786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 284",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053020284",
"telephone_number": "207-602-2358",
"fax_number": "207-602-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 HILLS BEACH RD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059599",
"telephone_number": "207-602-2358",
"fax_number": "207-602-5904"
}
],
"practiceLocations": [
{
"address_1": "716 Stevens Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041032693",
"country_code": "US",
"telephone_number": "207-221-4242",
"fax_number": "207-523-1913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELENICK",
"first_name": "MICHELE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "017734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.