Active NPI
Christopher Scott Kleeman, M.D.
- Gastroenterology Physician
- South Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 018451
- Practice address
- 25 Long Creek Dr
South Portland, ME 04106-2449 - Phone
- (207) 553-6880
- Fax
- (207) 879-0095
- NPI assigned
- Jul 5, 2007
- Last updated
- Feb 7, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD430574 | PA | |
| Gastroenterology Physician | 207RG0100X | MD430574 | PA | |
| Gastroenterology Physician | 207RG0100X | 018451 | ME | Primary |
Addresses
Primary practice location
25 Long Creek Dr
South Portland, ME 04106-2449
Mailing address
25 Long Creek Dr
South Portland, ME 04106-2449
Phone (207) 553-6880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435775099 | Medicaid | ME | |
| 102140700 | Medicaid | PA |
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
- Gastroenterology
- Education
- Tufts University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- 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
40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174
Hospital & facility affiliations
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 |
|---|---|
| Colonoscopy | 64 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018451 | ME | MD | Gastroenterology Physician |
| MD430574 | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Temple Physician Inc. | Internal Medicine | Past | Accepting new patients |
| Mercy Hospital | Past | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
25 Long Creek Dr
South Portland, ME 04106
Phone (207) 535-1100
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Interoperability endpoints
- ckleeman162342@direct.mmc.mainehealth.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
dba Northern Light Mercy Health Center
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
dba Mercy Express Care Westbrook
- General Acute Care Hospital
- Westbrook, ME
- NPI 1801234182
-
- Internal Medicine Physician
- Feasterville Trevose, PA
- NPI 1174497366
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1861690471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 LONG CREEK DR",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062449",
"telephone_number": "207-553-6880",
"fax_number": "207-879-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LONG CREEK DR",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062449",
"telephone_number": "207-553-6880",
"fax_number": "207-879-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEEMAN",
"first_name": "CHRISTOPHER",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-05",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD430574",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD430574",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ME",
"license": "018451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "435775099",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102140700",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.