DR. PAUL A PARKER (MD) – Nephrology Physician, NPI 1649278029

DR. PAUL A PARKER (MD) is a healthcare provider. based in Portland, Maine. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 9867 (ME). The NPI Number for DR. PAUL A PARKER (MD) is 1649278029

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL A PARKER (MD)
NPI
1649278029
Phone
(207) 774-5222
Address
1600B CONGRESS ST
Enumeration Date
11 July 2005
Last Update Date
22 March 2016

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
2076627180
Graduation Year
1978 (48 years ago)
PAC ID
9638115546
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20050630000784
Address ID
ME041023405PO19XXXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

60 NEPHROLOGY in ME

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Provider Addresses for DR. PAUL A PARKER (MD)

  • Congress Street, Libbytown, Portland, Cumberland County, Maine, 04102, United States

    PORTLAND, ME 041022124

    Phone: (207) 774-5222

    Fax: (207) 776-4433

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050630000784INephrologyMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90966Home dialysis services per month (20 years or older)17143$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)2313$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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Provider's Procedures

DR. PAUL A PARKER (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYME90935Hemodialysis procedure with one physician evaluation19687
NEPHROLOGYME90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older4436

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517860588View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. PAUL A PARKER (MD)?
DR. PAUL A PARKER (MD) — NPI 1649278029 — is the standard way to identify this listing.
Is DR. PAUL A PARKER (MD) listed as active for patients and plans?
The listing shows DR. PAUL A PARKER (MD) as active in the NPI system.
What is DR. PAUL A PARKER (MD)'s specialty?
The listing groups DR. PAUL A PARKER (MD) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Does DR. PAUL A PARKER (MD) list a practice location?
Patients near Portland, Maine may find DR. PAUL A PARKER (MD) in results; validate coverage separately.
Is the information about DR. PAUL A PARKER (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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