NPIMap

Individual provider Active NPI

Ahmad Abed Elnoor, M.D.

  • Urology Physician
  • Dover Foxcroft, ME
National Provider Identifier
1861792483
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD19368 Issued in ME
Practice address
891 W Main St
500
Dover Foxcroft, ME 04426-1059
Phone
(207) 564-4466
Fax
(207) 564-4468
NPI assigned
Oct 29, 2010
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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 MD19368 ME Primary

Addresses

Primary practice location

891 W Main St
500
Dover Foxcroft, ME 04426-1059

Mailing address

897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 564-4466

Other identifiers 2

IdentifierTypeStateIssuer
003309001OtherMEDICARE PTAN
P01258441OtherRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aelnoor@mayohospital.cernerdirect.com Direct

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
I20130805000366 ME Practitioner - Urology 0446492490 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MRH CorpGroup PAC ID 1355770892, 36 clinicians

Practice addresses (Care Compare)

897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 564-8401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.7 of 100Reported as group
Quality
74.14
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19368MEMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a Dean Memorial Hospital CurrentSince Mar 27, 2022 Accepting new patients
MRH Corp. CurrentSince Mar 1, 2020 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Mar 27, 2022 Accepting new patients
Eastern Maine Healthcare Systems Past Accepting new patients
MRH Corp. Past Accepting new patients

Locations

891 W Main St
Ste 200
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

891 W Main St
Ste 500
Dovr Foxcroft, ME 04426
Phone (207) 564-4466

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

Interoperability endpoints

  • Direct secure messaging: aelnoor@mayohospital.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1861792483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261029",
            "telephone_number": "207-564-4466",
            "fax_number": "207-564-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 W MAIN ST",
            "address_2": "500",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261059",
            "telephone_number": "207-564-4466",
            "fax_number": "207-564-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABED ELNOOR",
        "first_name": "AHMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-29",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ME",
            "license": "MD19368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "003309001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01258441",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aelnoor@mayohospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Northern Light Mayo Hospital Cerner Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "891 W Main St",
            "address_2": "500",
            "city": "Dover Foxcroft",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044261059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

Verify at the official NPI Registry.