Active NPI
Jonathan Jay Musmand, MD
- Allergy & Immunology Physician
- Portland, ME
National Provider Identifier
1982652707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 013825
- Practice address
- 195 Fore River Pkwy
Suite 410
Portland, ME 04102-2780 - Phone
- (207) 774-9839
- Fax
- (207) 761-2127
- NPI assigned
- May 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 013825 | ME | |
| Allergy & Immunology Physician | 207K00000X | 013825 | ME | Primary |
Addresses
Primary practice location
195 Fore River Pkwy
Suite 410
Portland, ME 04102-2780
Mailing address
195 Fore River Pkwy
Suite 410
Portland, ME 04102
Phone (207) 774-9839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110740000 | Medicaid | ME |
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
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
195 Fore River Pkwy
Portland, ME 04102-2788
Phone (207) 774-9839
28 W Cole Rd
Suite 103
Biddeford, ME 04005-9428
Phone (207) 774-9839
33 R Mollison Way
Lewiston, ME 04240-5805
Phone (207) 774-9839
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Lincolnhealth
- Mainehealth Mid Coast Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013825 | ME | MD | Allergy & Immunology Physician |
Interoperability endpoints
- jonathan.musmand.1@31586.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Specialist
- Portland, ME
- NPI 1972647824
Hospital & facility affiliations 38
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1982652707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 FORE RIVER PKWY",
"address_2": "SUITE 410",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04102",
"telephone_number": "207-774-9839",
"fax_number": "207-761-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 FORE RIVER PKWY",
"address_2": "SUITE 410",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022780",
"telephone_number": "207-774-9839",
"fax_number": "207-761-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSMAND",
"first_name": "JONATHAN",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "013825",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "ME",
"license": "013825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110740000",
"state": "ME"
}
],
"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 Jan 13, 2015; 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.