Organization Active NPI

Rasha Y Hanafy, DO LLC

  • Family Medicine Physician
  • Cumberland Foreside, ME
National Provider Identifier
1871143909
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RASHA Y HANAFY, DO LLC
Practice address
15 Sky View Dr
Cumberland Foreside, ME 04110-1339
Phone
(207) 489-7000
Fax
(207) 781-0004
NPI assigned
Sep 20, 2019
Last updated
Sep 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Rasha Y Hanafy, DONPI 1467501783
Title
Physician/Owner
Phone
(207) 489-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15 Sky View Dr
Cumberland Foreside, ME 04110-1339

Mailing address

15 Sky View Dr
Cumberland Foreside, ME 04110-1339
Phone (207) 489-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191220001878 ME Part B Supplier - Clinic/Group Practice 3072947266 Receives reassigned benefits from 1 practitioner
Practice locations: Cumberland Foreside, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2172715Rasha Y Hanafy DO, LLC15 Sky View Drive, Cumberland Foreside, ME 04110Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1871143909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SKY VIEW DR",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101339",
            "telephone_number": "207-489-7000",
            "fax_number": "207-781-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SKY VIEW DR",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101339",
            "telephone_number": "207-489-7000",
            "fax_number": "207-781-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASHA Y HANAFY, DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "HANAFY",
        "authorized_official_first_name": "RASHA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "207-489-7000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland Foreside, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.