Individual provider Active NPI

Nubia Alexandra Calabi, MD

  • Pediatrics Physician
  • Brunswick, ME
National Provider Identifier
1861804478
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD21576 Issued in ME
Practice address
114 Bath Rd
Brunswick, ME 04011-2606
Phone
(207) 798-4400
Fax
(207) 798-4452
NPI assigned
May 30, 2014
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD21576 ME Primary

Addresses

Primary practice location

114 Bath Rd
Brunswick, ME 04011-2606

Mailing address

PO Box 9746
Portland, ME 04104-5040

Other names 1

  • Nubia Alexandra Smith-Vaughan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nubia.calabi.1@5857.direct.athenahealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815000208 ME Practitioner - Pediatric Medicine 6507082237 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martin's Point Health Care, Inc. Pediatrics CurrentSince Aug 20, 2018 Accepting new patients

Locations

114 Bath Rd
Brunswick, ME 04011
Phone (207) 798-4400

74 Baribeau Dr
Brunswick, ME 04011
Phone (207) 798-4050

331 Veranda St
Portland, ME 04103
Phone (207) 774-5801

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nubia.calabi.1@5857.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1861804478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9746",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BATH RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112606",
            "telephone_number": "207-798-4400",
            "fax_number": "207-798-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABI",
        "first_name": "NUBIA",
        "middle_name": "ALEXANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-30",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD21576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nubia.calabi.1@5857.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "114 Bath Rd",
            "city": "Brunswick",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040112606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NUBIA",
            "last_name": "SMITH-VAUGHAN",
            "middle_name": "ALEXANDRA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.