Individual provider Active NPI

Glenn D. Focht, M.D.

  • Internal Medicine Physician
  • Lewiston, ME
National Provider Identifier
1831138148
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
018536 Issued in ME
Practice address
12 High St
Ste. 402
Lewiston, ME 04240-7676
Phone
(207) 795-5700
Fax
(207) 795-5727
NPI assigned
Jun 5, 2006
Last updated
Dec 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 018536 ME Primary

Addresses

Primary practice location

12 High St
Ste. 402
Lewiston, ME 04240-7676

Mailing address

12 High St
Ste. 402
Lewiston, ME 04240-7676
Phone (207) 795-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260107002280 MA Practitioner - Family Practice 4385699826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Family Medical Center, LLCGroup PAC ID 8729431226, 10 clinicians

Practice addresses (Care Compare)

1 Wallace Bashaw Way
Suite 1002
Newburyport, MA 01950-3876
Phone (978) 255-2612

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018536MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Family Medical Center LLC CurrentSince Jan 1, 2026 Accepting new patients
Seacoast Affiliated Group Practice Current Accepting new patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Mar 31, 2023 Accepting new patients
Connecticut Children's Specialty Group, Inc. PastSince Dec 1, 2017 Accepting new patients

Locations

1 Wallace Bashaw Way
Ste 1002
Newburyport, MA 01950
Phone (978) 255-2612

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Anna Jaques HospitalNewburyport, MA, CCN 220029 Hospital W-2 Managing Employee Nov 29, 2021
Cornerstone Healthcare Systems LLCWorcester, MA, CCN 227596 Home health agency 5% Or Greater Indirect Ownership Interest (5%) Sep 7, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1831138148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HIGH ST",
            "address_2": "STE. 402",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407676",
            "telephone_number": "207-795-5700",
            "fax_number": "207-795-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HIGH ST",
            "address_2": "STE. 402",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407676",
            "telephone_number": "207-795-5700",
            "fax_number": "207-795-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOCHT",
        "first_name": "GLENN",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "018536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.