NPIMap

Individual provider Active NPI

Stepfany Fuentes, DO

  • Nephrology Physician
  • Portland, ME
National Provider Identifier
1972024065
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO3525 Issued in ME
Practice address
1600 Congress St
Portland, ME 04102-2143
Phone
(207) 774-5222
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X DO3525 ME Primary

Addresses

Primary practice location

1600 Congress St
Portland, ME 04102-2143

Mailing address

1600 Congress St
Portland, ME 04102-2143
Phone (207) 774-5222

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
I20230825001097 ME Practitioner - NephrologyPractitioner - Internal Medicine 2466726062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

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

43 Baxter Blvd
Portland, ME 04101-1823
Phone (207) 662-7180

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021
  • Lincolnhealth Hospital, Damariscotta, ME, CCN 201302
  • Mainehealth Franklin Hospital Hospital, Farmington, ME, CCN 201316

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 14, 2023 Accepting new patients
Scotland Regional Health Network Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Mainehealth CurrentSince Aug 14, 2023 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Aug 14, 2023 Accepting new patients
Scotland Regional Health Network CurrentSince Oct 1, 2020 Accepting new patients
Maine Medical Partners CurrentSince Aug 14, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

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

43 Baxter Blvd
Portland, ME 04101
Phone (207) 775-6381

1600 Congress St
Ste B
Portland, ME 04102
Phone (207) 774-5222

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

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

Interoperability endpoints

  • Direct secure messaging: sfuentes368106@direct.mmc.mainehealth.org
  • Direct secure messaging: sfuentes28675@capefearvalley.direct-ci.com

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1972024065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022143",
            "telephone_number": "207-774-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022143",
            "telephone_number": "207-774-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "STEPFANY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ME",
            "license": "DO3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.