DR. PAUL A PARKER MD
NPI 1649278029
Internal Medicine - Nephrology in Portland, ME
About Dr. Paul A Parker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL A PARKER MD (NPI 1649278029) is an individual nephrology provider in Portland, Maine, licensed in Maine (9867) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1978).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Paul A Parker Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Paul Parker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- Also billed through NPI 1679887400 (Maine)
- 46 clinicians in this Medicare group
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 264 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Paul Parker's NPI number?
The NPI number for Paul Parker is 1649278029. It was assigned to this individual provider in the NPPES registry on July 11, 2005.
Where is Paul Parker located?
Paul Parker practices at 1600B Congress St, Portland, ME 04102. The listed phone number is (207) 774-5222.
What is Paul Parker's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Paul Parker enrolled in Medicare?
Yes. Paul Parker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Paul Parker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Parker reassigns Medicare benefits to 2 organizations: Mainehealth (Portland, ME) and Maine Medical Partners (Portland, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Parker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Parker accept?
Health plans from Ambetter from NH Healthy Families list Paul Parker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Paul Parker affiliated with any hospitals?
According to CMS data, Paul Parker is affiliated with Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Paul Parker was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Paul A Parker, MD · NPI 1649278029
Nephrology physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since July 11, 2005.
## Identity
- **NPI:** 1649278029 (Entity type: Individual)
- **Enumerated:** July 11, 2005
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 9867 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600B CONGRESS ST, Portland, ME 04102-2124
- **Phone:** (207) 774-5222 · **Fax:** (207) 761-4433
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mainehealth (NPI 1003113127, Portland, ME); Maine Medical Partners (NPI 1124335591, Portland, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 1978
## Record status
- **NPPES last updated:** March 22, 2016
- **Other identifiers:** Medicare UPIN DO3535 (ME); Medicare PIN MM003202 (ME); Medicare ID-Type Unspecified MM0032 (ME); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1649278029) · Data from the CMS NPPES public registry.