NPIMap

Individual provider Active NPI

Thabo Kenosi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Scarborough, ME
National Provider Identifier
1962624189
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD20285 Issued in ME
Practice address
MMP Endocrinology & Diabetes Center
175 US Route One
Scarborough, ME 04074-9308
Phone
(207) 396-7700
Fax
(207) 396-7701
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 8060A WY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD20285 ME Primary

Addresses

Primary practice location

MMP Endocrinology & Diabetes Center
175 US Route One
Scarborough, ME 04074-9308

Mailing address

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 583-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141106000414 ME Practitioner - EndocrinologyPractitioner - Internal Medicine 3678627023 Reassigns benefits to 3 organizations
I20150310001443 NH Practitioner - EndocrinologyPractitioner - Internal Medicine 3678627023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Memorial HospitalGroup PAC ID 2365418993, 79 clinicians

Practice addresses (Care Compare)

12 Hospital Dr
Suite B
York, ME 03909-1030
Phone (207) 351-3530

175 US Route 1
Scarborough, ME 04074-9048
Phone (207) 396-7700

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

Hospital & facility affiliations

  • York Hospital Hospital, York, ME, CCN 200020
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Memorial Hospital, the Hospital, North Conway, NH, CCN 301307
  • Androscoggin Valley Hospital Hospital, Berlin, NH, CCN 301310
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021

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

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20285MEMDEndocrinology, Diabetes & Metabolism Physician
8060AWYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital Endocrinology, Diabetes & Metabolism CurrentSince Nov 1, 2014 Accepting new patients
Mainehealth CurrentSince Oct 1, 2014 Accepting new patients
Memorial Hospital CurrentSince Dec 3, 2014 Accepting new patients
Maine Medical Partners CurrentSince Oct 1, 2014 Accepting new patients
Mainehealth CurrentSince Oct 1, 2014 Accepting new patients
Memorial Hospital Current Accepting new patients
Memorial Hospital Endocrinology, Diabetes & Metabolism CurrentSince Dec 3, 2014 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners Endocrinology, Diabetes & Metabolism CurrentSince Oct 1, 2014 Accepting new patients
Mainehealth Past Accepting new patients

Locations

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

175 US Route 1
Scarborough, ME 04074
Phone (207) 396-7700

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

12 Hospital Dr
Ste B
York, ME 03909
Phone (207) 351-3001

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • Direct secure messaging: thabo.kenosi@yh.eclinicaldirectplus.com
  • Direct secure messaging: tkenosi113469@direct.mmc.mainehealth.org

Organizations & group practices 10

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 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1962624189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "989-583-6800",
            "fax_number": "989-583-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMP ENDOCRINOLOGY & DIABETES CENTER",
            "address_2": "175 US ROUTE ONE",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749308",
            "telephone_number": "207-396-7700",
            "fax_number": "207-396-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENOSI",
        "first_name": "THABO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WY",
            "license": "8060A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "ME",
            "license": "MD20285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.