ANUJ MEDIRATTA M.D.
NPI 1457508574
Internal Medicine - Cardiovascular Disease in Scarborough, ME
NPI Status: Active since August 20, 2008
Contact Information
96 CAMPUS DR
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 885-9905
Fax: (207) 396-5600
- Individual
- Male
- Years of Experience 18
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ANUJ MEDIRATTA
This page provides the complete NPI Profile along with additional information for Anuj Mediratta, an internist established in Scarborough, Maine with a medical specialization in Internal Medicine, focusing in cardiovascular disease and more than 18 years of experience. He graduated from Ohio State University College Of Medicine in 2008. The healthcare provider is registered in the NPI registry with number 1457508574 assigned on August 2008. The practitioner's primary taxonomy code is 207RC0000X with license number 25MA10363400 (NJ). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1457508574
- Provider Name
- ANUJ MEDIRATTA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 96 CAMPUS DR SCARBOROUGH, ME 04074
- Location Phone
- (207) 885-9905
- Location Fax
- (207) 396-5600
- Mailing Address
- 96 CAMPUS DR SCARBOROUGH, ME 04074
- Mailing Phone
- (207) 885-9905
- Mailing Fax
- (207) 396-5600
- Medical School Name
- OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
- Graduation Year
- 2008
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-20-2008
- Last Update Date
- 02-14-2024
- Code Navigator
An internist like Anuj Mediratta is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 3073 White Mountain Hwy
North Conway, NH 03860
(603) 356-4835
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
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA10363400
- License State
- NJ
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | AN52403945894 (IL) |
| 2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 24183 (NH) |
| 3 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | MD26046 (ME) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
- Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
- Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
- Anthem Silver Preferred Blue PPO 2000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3000/20%/8500 - PPO
- Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD - PPO
- Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
- Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Anuj Mediratta is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Anuj Mediratta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4587842588
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230630000093
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Ct scan of blood vessels and grafts of heart with contrast
Ultrasound of heart blood flow, valves and chambers
Ultrasound of heart with color-depicted blood flow, rate and valve function
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report
Ultrasound of heart with probe in esophagus, with report
Ultrasound of heart, follow-up
A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.
This service was performed 19 times for 19 patientsAn ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
This service was performed 31 times for 31 patientsAn ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
This service was performed 29 times for 29 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 668 times for 508 patientsThis procedure, known as a transesophageal echocardiogram, involves placing a probe in your esophagus to capture detailed images of your heart during surgery. It helps surgeons monitor heart function and guide treatment. A report will follow.
This service was performed 93 times for 93 patientsThis procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.
This service was performed 30 times for 30 patientsA follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
This service was performed 31 times for 29 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.2 for a new patient copayment and $17.53 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 04074 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $128.83
- Minimum New Patient Price $56.28
- Maximum New Patient Price $169.96
- Average New Patient Copayment $32.2
- Minimum New Patient Copayment $14.07
- Maximum New Patient Copayment $42.49
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.13
- Minimum Established Patient Price $18.22
- Maximum Established Patient Price $138.92
- Average Established Patient Copayment $17.53
- Minimum Established Patient Copayment $4.55
- Maximum Established Patient Copayment $34.73
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Anuj Mediratta is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MAINE MEDICAL CENTER | 22 BRAMHALL ST PORTLAND, ME 04102 | (207) 662-0111 | Acute Care Hospitals | |
| SOUTHERN MAINE HEALTH CARE | 1 MEDICAL CENTER DRIVE BIDDEFORD, ME 04005 | (207) 283-7000 | Acute Care Hospitals | |
| MID COAST HOSPITAL | 123 MEDICAL CENTER DRIVE BRUNSWICK, ME 04011 | (207) 729-0181 | Acute Care Hospitals | |
| FRANKLIN MEMORIAL HOSPITAL | 111 FRANKLIN HEALTH COMMONS FARMINGTON, ME 04938 | (207) 778-6031 | Acute Care Hospitals | |
| MEMORIAL HOSPITAL, THE | 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY, NH 03860 | (603) 356-5461 | Critical Access Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 5 | 0 | 8 | 5 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 10 | 0 | 16 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 1 + 0 + 0 + 1 + 6 + 5 + 1 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1457508574 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023098951 | DR. WARREN D ALPERN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 396-5611 |
| 1619957057 | DR. JOHN P DRISCOLL M.D. Individual | Internal Medicine (Cardiovascular Disease) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 396-5611 |
| 1801844949 | RALPH W HUGHES PA-C Individual | Physician Assistant | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 396-5611 |
| 1871541912 | PATRICIA A JOHNSON PA-C Individual | Physician Assistant | 96 CAMPUS DR SCARBOROUGH, ME 04074 (207) 396-5611 |
| 1417984121 | KEVIN J CURTIS PA Individual | Physician Assistant (Medical) | 96 CAMPUS DR SUITE 2A SCARBOROUGH, ME 04074 (207) 885-8777 |
| 1639107840 | PETER G AMANN MD Individual | Family Medicine | 96 CAMPUS DR SUITE 2C SCARBOROUGH, ME 04074 (207) 883-7926 |
| 1467566604 | VANCE M BROWN MD Individual | Family Medicine | 96 CAMPUS DR SUITE 2C SCARBOROUGH, ME 04074 (207) 883-7926 |
| 1225123524 | CHRISTINE M FREME MD Individual | Internal Medicine | 96 CAMPUS DR SUITE 2B SCARBOROUGH, ME 04074 (207) 883-3491 |
| 1528048964 | WILLIAM A DIETZ M.D. Individual | Internal Medicine (Interventional Cardiology) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 396-5611 |
| 1215907761 | EDWARD J TEUFEL M.D. Individual | Internal Medicine (Cardiovascular Disease) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 396-5611 |
| 1477523074 | JOHN C LOVE MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 885-9905 |
| 1073583522 | PAUL W SWEENEY MD Individual | Internal Medicine (Cardiovascular Disease) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 885-9905 |
| 1346240033 | BROOKE SEARS RITVO M.D. Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 885-9905 |
| 1467422980 | JOHN F MOLONEY M.D. Individual | Internal Medicine (Cardiovascular Disease) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 396-5611 |
| 1104828052 | WILLIAM NEWTON PA Individual | Physician Assistant (Medical) | 96 CAMPUS DR SUITE 2C SCARBOROUGH, ME 04074 (207) 883-7926 |
| 1023088218 | MIRLE A KELLETT M.D. Individual | Internal Medicine (Interventional Cardiology) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 396-5611 |
| 1265550990 | MR. SAMUEL E UMBRIACO PA-C Individual | Physician Assistant | 96 CAMPUS DR SCARBOROUGH, ME 04074 (207) 563-4250 |
| 1265462311 | SANJEEV A FRANCIS M.D. Individual | Internal Medicine (Cardiovascular Disease) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 885-9905 |
| 1578016499 | MRS. KATHARINE KENNESAW RICHARDS NP Individual | Nurse Practitioner (Family) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 885-9905 |
| 1487617643 | LEANNE CZEKAJ PA-C Individual | Physician Assistant (Medical) | 96 CAMPUS DR SUITE 1 SCARBOROUGH, ME 04074 (207) 885-9905 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457508574, enumerated in the NPI registry as an "individual" on August 20, 2008
The provider is located at 96 Campus Dr Scarborough, Me 04074 and the phone number is (207) 885-9905
The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider has more than 18 years of experience. He graduated from Ohio State University College Of Medicine in 2008.
The provider might be accepting Accepts: Ambetter from NH Healthy Families, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $128.83 with an average copayment of $32.2 for new patient appointments. Established patients should expect a typical charge of $70.13 and an average copayment of 17.53. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Ct scan of blood vessels and grafts of heart with contrast, Ultrasound of heart blood flow, valves and chambers, Ultrasound of heart with color-depicted blood flow, rate and valve function, Ultrasound of heart with color-depicted blood flow, rate, direction and valve function, Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report, Ultrasound of heart with probe in esophagus, with report and Ultrasound of heart, follow-up.
The practitioner is affiliated to the following hospital(s): MAINE MEDICAL CENTER, SOUTHERN MAINE HEALTH CARE, MID COAST HOSPITAL, FRANKLIN MEMORIAL HOSPITAL and MEMORIAL HOSPITAL, THE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 20, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.