Active NPI
Zain Mousa Aref Alshanableh, MD
- Nephrology Physician
- Portland, ME
National Provider Identifier
1972159598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD27593
- Practice address
- 1600 Congress St Ste B
Portland, ME 04102-2148 - Phone
- (207) 774-5222
- NPI assigned
- Aug 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.248342 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT224937 | PA | |
| Nephrology Physician | 207RN0300X | MD27593 | ME | Primary |
Addresses
Primary practice location
1600 Congress St Ste B
Portland, ME 04102-2148
Mailing address
1600 Congress St Ste B
Portland, ME 04102-2148
Phone (207) 774-5222
Other practice location 1
29050 Detroit Rd Apt 316
Westlake, OH 44145-2096
Phone (216) 309-7747
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240724003592 | ME | Practitioner - Nephrology | 2163802455 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
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
Hospital & facility affiliations
- FMC Southern Maine Dialysis Facility
- Mainehealth Maine Medical Center
- Memorial Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 57.248342 | OH | MD | Internal Medicine Physician |
| MD27593 | ME | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Internal Medicine | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Internal Medicine | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
1600 Congress St
Ste B
Portland, ME 04102
Phone (207) 774-5222
Interoperability endpoints
- zalshanableh716229@direct.mmc.mainehealth.org
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
Hospital & facility affiliations 42
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, ME
- NPI 1982620969
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1972159598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CONGRESS ST STE B",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022148",
"telephone_number": "207-774-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CONGRESS ST STE B",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022148",
"telephone_number": "207-774-5222"
}
],
"practiceLocations": [
{
"address_1": "29050 Detroit Rd Apt 316",
"address_purpose": "LOCATION",
"city": "Westlake",
"state": "OH",
"postal_code": "441452096",
"country_code": "US",
"telephone_number": "216-309-7747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALSHANABLEH",
"first_name": "ZAIN",
"middle_name": "MOUSA AREF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-11",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.248342",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT224937",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "ME",
"license": "MD27593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.