NPIMap

Individual provider Active NPI

Imad Hisham Durra, MD

  • Infectious Disease Physician
  • Lewiston, ME
National Provider Identifier
1891716155
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
015770 Issued in ME
Practice address
76 High St
Suite 4200
Lewiston, ME 04240-7649
Phone
(207) 795-2729
Fax
(207) 979-5272
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 015770 ME Primary

Addresses

Primary practice location

76 High St
Suite 4200
Lewiston, ME 04240-7649

Mailing address

76 High St
Suite 4200
Lewiston, ME 04240-7649
Phone (207) 795-2729

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
I20070123000357 ME Practitioner - Internal MedicinePractitioner - Infectious Disease 3072514736 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-4420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015770MEMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Regional Medical Center CurrentSince Oct 1, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Feb 15, 2012 Accepting new patients
Bridgton Hospital CurrentSince Feb 15, 2012 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Oct 1, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Feb 15, 2012 Accepting new patients
Bridgton Hospital CurrentSince Feb 15, 2012 Accepting new patients
Rumford Hospital CurrentSince Feb 15, 2012 Accepting new patients
Rumford Hospital CurrentSince Feb 15, 2012 Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-4420

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

76 High St
Ste 4200
Lewiston, ME 04240
Phone (207) 795-2729

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

10 High St
Ste 105
Lewiston, ME 04240
Phone (207) 795-5710

329 Maine St
Mere Point, ME 04011
Phone (207) 373-2250

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 9

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 4

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1891716155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "address_2": "SUITE 4200",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2729",
            "fax_number": "207-979-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "address_2": "SUITE 4200",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2729",
            "fax_number": "207-979-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRA",
        "first_name": "IMAD",
        "middle_name": "HISHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "ME",
            "license": "015770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.