MAINE GERIATRICS – NPI #1326156605
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

MAINE GERIATRICS is a provider located in BIDDEFORD, ME. NPPES has assigned the NPI number 1326156605 to MAINE GERIATRICS on August 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is JABBAR FAZELI MD DBA MAINE GERIATRICS. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 5 years ago on Oct 15, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAINE GERIATRICS below.

NPI Profile for
MAINE GERIATRICS

NPI Number
1326156605
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAINE GERIATRICS
Former Legal Business Name: JABBAR FAZELI MD DBA MAINE GERIATRICS
Primary location
22 W COLE RD STE 101
BIDDEFORD, ME 04005-9431
Phone: (207) 780-6565 Fax: (207) 878-6565
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JABBAR FAZELI
PRESIDENT/OWNER
Phone: (207) 780-6565
Updated
Certification Date
Oct 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MAINE GERIATRICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDME227900000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.