Active NPI
Shiva Kumar Annamalai, MD
- Cardiovascular Disease Physician
- Scarborough, ME
National Provider Identifier
1972915544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD24429
- Practice address
- 96 Campus Dr
Scarborough, ME 04074-7163 - Phone
- (207) 885-9905
- Fax
- (207) 396-5600
- NPI assigned
- May 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 259538 | MA | |
| Internal Medicine Physician | 207R00000X | MD24429 | ME | |
| Internal Medicine Physician | 207R00000X | 21201 | NH | |
| Cardiovascular Disease Physician | 207RC0000X | 21201 | NH | |
| Cardiovascular Disease Physician | 207RC0000X | MD24429 | ME | Primary |
Addresses
Primary practice location
96 Campus Dr
Scarborough, ME 04074-7163
Mailing address
96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905
Other practice location 1
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Other practice location 2
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461
Other practice location 3
93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 755-3240
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sannamalai1514427@direct-prd.goodhelpconnections.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210913003614 | ME | Practitioner - Cardiovascular Disease (Cardiology) | 3678862968 | Reassigns benefits to 3 organizations |
| I20210917000559 | NH | Practitioner - Cardiovascular Disease (Cardiology) | 3678862968 |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Massachusetts Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- MainehealthSt Marys Regional Medical Center
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8100
96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Memorial Hospital, the
- Mainehealth Mid Coast Hospital
- Maine General Medical Center
- Mainehealth Stephens Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|
| MD24429 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Cardiovascular Disease | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Internal Medicine | Past | Accepting new patients |
Locations
99 Campus Ave
Ste 301
Lewiston, ME 04240
Phone (207) 777-4320
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549
96 Campus Dr
Ste 1
Scarborough, ME 04074
Phone (207) 396-5611
96 Campus Dr
Scarborough, ME 04074
Phone (207) 885-9905
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
Interoperability endpoints
- sannamalai381258@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.
-
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
-
- Psychiatric Hospital Unit
- Lewiston, ME
- NPI 1245292788
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Cardiovascular Disease Physician
- Scarborough, ME
- NPI 1386937175
Cardiovascular Disease
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
Hospital & facility affiliations 43
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": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1972915544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 CAMPUS DR",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747163",
"telephone_number": "207-885-9905",
"fax_number": "207-396-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 CAMPUS DR",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747163",
"telephone_number": "207-885-9905",
"fax_number": "207-396-5600"
}
],
"practiceLocations": [
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-885-9905",
"fax_number": "207-396-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3073 White Mountain Hwy",
"address_purpose": "LOCATION",
"city": "North Conway",
"state": "NH",
"postal_code": "038607101",
"country_code": "US",
"telephone_number": "603-356-5461",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "93 Campus Ave",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "042406030",
"country_code": "US",
"telephone_number": "207-755-3240",
"fax_number": "207-755-3246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANNAMALAI",
"first_name": "SHIVA",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-29",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "259538",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD24429",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "21201",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NH",
"license": "21201",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ME",
"license": "MD24429",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sannamalai1514427@direct-prd.goodhelpconnections.org",
"affiliation": "N",
"address_1": "93 Campus Ave",
"city": "Lewiston",
"state": "ME",
"country_code": "US",
"postal_code": "042406030",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.