Individual Healthcare Provider
Abebech Jobir Waktola, MD
Provider's NPPES record last updated: December 3, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1942720552
- Primary Specialty
- Internal Medicine — Nephrology
- Practice Location
- Rockport, Maine
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 2:36 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Internal Medicine
Nephrology
Allopathic & Osteopathic Physicians
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Taxonomy code 207RN0300X
Provider-Reported License Information
- Internal Medicine (Maine)
- MD28355
- Internal Medicine (Kentucky)
- 56534
- Internal Medicine (Tennessee)
- 67252
- Internal Medicine (Illinois)
- 036.177470
Practice Locations
Practice Location
6 Glen Cove Dr
Rockport, Maine 04856-4272
Phone: (270) 301-8000
Additional Practice Location
3401 Conifer Dr
Springfield, Illinois 62711-8300
Phone: (217) 726-2527
Additional Practice Location
125 Northport Ave Ste 106
Belfast, Maine 04915-6002
Phone: (207) 505-4080
Fax: (207) 800-4338
Record Information
- Enumeration Date
- June 23, 2017
- Provider's NPPES Record Last Updated
- December 3, 2025
- Certification Date
- December 3, 2025
- NPISignal NPPES Dataset
- August 2026
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