MMC PEDIATRIC INTENSIVE CARE UNIT
NPI 1265536817
Pediatrics - Pediatric Critical Care Medicine in Portland, ME
NPI Status: Active since September 12, 2006
Contact Information
22 BRAMHALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-2179
Fax: (207) 662-6326
- Organization
- Pediatrics
- Pediatric Critical Care Medicine
- CLIA Number: 20D2275731
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-26-2027
About MMC PEDIATRIC INTENSIVE CARE UNIT
This page provides the complete NPI Profile along with additional information for Mmc Pediatric Intensive Care Unit, a pediatrician established in Portland, Maine operating as a Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1265536817 assigned on September 2006. The practitioner's primary taxonomy code is 2080P0203X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Mmc Pediatric Intensive Care Unit operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mmc Pediatric Intensive Care Unit. The authorized official of this NPI record is Lugene Anthony Inzana (Associate Cfo)
- NPI
- 1265536817
- Provider Legal Name
- MAINEHEALTH
- Other Organization Name
- MMC PEDIATRIC INTENSIVE CARE UNIT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 22 BRAMHALL ST PORTLAND, ME 04102
- Location Phone
- (207) 662-2179
- Location Fax
- (207) 662-6326
- Mailing Address
- 301 US ROUTE 1 BUILDING C SCARBOROUGH, ME 04074
- Mailing Phone
- (207) 396-8600
- Mailing Fax
- (207) 662-6326
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-12-2006
- Last Update Date
- 05-11-2020
- Code Navigator
A pediatrician like Mmc Pediatric Intensive Care Unit is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102500000 | MEDICAID (05) | ME |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 20D2275731
- Facility Type
- Physician Office
- Certificate Effective Date
- January 27, 2025
- Certificate Expiration Date
- January 26, 2027
- Laboratory Director
- KRISTEN SILVIA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mmc Pediatric Intensive Care Unit to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MMC PEDIATRIC INTENSIVE CARE UNIT
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265536817, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265536817, enumerated as an "organization" on September 12, 2006.
The provider is located at 22 BRAMHALL ST PORTLAND, ME 04102 and the phone number is (207) 662-2179.
Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
