Individual provider Active NPI

Dana G Crovo, M.D.

  • Anesthesiology Physician
  • Portland, ME
National Provider Identifier
1871665273
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD14865 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-2526
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD14865 ME Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD14865 ME

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7800

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
I20040212000325 ME Practitioner - Anesthesiology 0749174415 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Massachusetts Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians

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

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2526

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 100Reported as group
Quality
60.7
Promoting interoperability
91
Improvement activities
40
Cost
73.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14865MEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince May 13, 2012 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Mar 13, 2008 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Oct 1, 2006 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Dec 30, 2010 Accepting new patients
Mainehealth CurrentSince May 13, 2012 Accepting new patients
Mercy Hospital CurrentSince Sep 10, 2018 Accepting new patients
Mercy Hospital CurrentSince Sep 10, 2018 Accepting new patients
Maine Medical Partners CurrentSince Oct 1, 2006 Accepting new patients
Spectrum Healthcare Partners, P.a. Anesthesiology CurrentSince Mar 13, 2008 Accepting new patients
Spectrum Healthcare Partners, PA Past Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

33 Sewall St
Portland, ME 04102
Phone (207) 772-0076

175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105

15 Lowell St
Portland, ME 04102
Phone (207) 774-8277

195 Fore River Pkwy
Ste 120
Portland, ME 04102
Phone (207) 415-4841

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

49 Spring St
Scarborough, ME 04074
Phone (207) 883-1414

300 Professional Dr
Scarborough, ME 04074
Phone (207) 883-3491

49 Spring St
#2
Scarborough, ME 04074
Phone (207) 883-1414

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

244 Western Ave
South Portland, ME 04106
Phone (207) 775-3446

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1871665273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROVO",
        "first_name": "DANA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "MD14865",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ME",
            "license": "MD14865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.