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MMP ORTHOPEDICS ( DIV OF ORTHOPEDIC TRAUMA & FRACTURE CARE)
NPI 1003113127
Orthopaedic Surgery - Orthopaedic Trauma in Portland, ME

Active since February 25, 2011CLIA Certified · 9 labs
335 BRIGHTON AVE, SUITE 200, PORTLAND, ME 04102(207) 662-8600(207) 662-8668 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mmp Orthopedics ( Div Of Orthopedic Trauma & Fracture Care) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MMP ORTHOPEDICS ( DIV OF ORTHOPEDIC TRAUMA & FRACTURE CARE) (NPI 1003113127) is a healthcare organization registered as an orthopaedic trauma in Portland, Maine and active in the NPI registry since February 2011. The organization holds 9 active CLIA laboratory certificates and lists Lugene Anthony Inzana, Associate Cfo, as its authorized official.

NPPES Registry Identity

NPI1003113127
Entity TypeOrganization
Primary Taxonomy207XX0801X
Legal Business NameMAINEHEALTH
Location Address335 BRIGHTON AVE, SUITE 200Portland, ME 04102-2363
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-6562
Phone(207) 662-8600
Fax(207) 662-8668
Organization SubpartYes
Authorized OfficialLugene Anthony InzanaAssociate Cfo · (207) 662-3538
Enumeration DateFebruary 25, 2011
Last NPPES UpdateMay 11, 2020
NPPES CertifiedMay 11, 2020
✔ NPI 1003113127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 37563 (ME)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
335 BRIGHTON AVE, Portland, ME 04102
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Other Names 1

Doing Business AsMmp Orthopedics ( Div Of Orthopedic Trauma & Fracture Care)

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mmp Orthopedics ( Div Of Orthopedic Trauma & Fracture Care) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

46

Medicare enrollment records show 46 clinicians reassign Medicare billing to Mmp Orthopedics ( Div Of Orthopedic Trauma & Fracture Care), which bills Medicare for the services they deliver. Of these, 39 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nephrology10
Geriatric Medicine7
Cardiovascular Disease (Cardiology)6
General Surgery4
Internal Medicine3
Pediatric Medicine3
Nurse Practitioner2
Obstetrics/Gynecology2
9 other specialties9

Nearest to this location (20)

See all 46
Michael Akom, M.D.
Nephrology
NPI 1508827585
1600B CONGRESS ST
Portland, ME 04102
(207) 774-5222
✔ PECOS✔ Accepts Medicare0.9 mi
Patricia Cantlin, DO
Nephrology
NPI 1275533994
1600B CONGRESS ST
Portland, ME 04102
(207) 774-5222
✔ PECOS0.9 mi
Ioan Cosma, MD
Nephrology
NPI 1356540454
1600B CONGRESS ST
Portland, ME 04102
(207) 774-5222
✔ PECOS✔ Accepts Medicare0.9 mi
Gary Diperna, DO
Nephrology
NPI 1649567579
1600B CONGRESS ST
Portland, ME 04102
(207) 774-5222
✔ PECOS✔ Accepts Medicare0.9 mi
Mahendra Mangray, MD
Nephrology
NPI 1801074919
1600B CONGRESS ST
Portland, ME 04102
(207) 774-5222
✔ PECOS0.9 mi
Paul Parker, MD
Nephrology
NPI 1649278029
1600B CONGRESS ST
Portland, ME 04102
(207) 774-5222
✔ PECOS✔ Accepts Medicare0.9 mi
Eric Taylor, MD
Nephrology
NPI 1780776724
1600B CONGRESS ST
Portland, ME 04102
(207) 774-5222
✔ PECOS✔ Accepts Medicare0.9 mi
John Vella, M.D.
Nephrology
NPI 1255332698
1600B CONGRESS ST
Portland, ME 04102
(207) 774-5222
✔ PECOS✔ Accepts Medicare0.9 mi
James Wasserman, M.D.
Nephrology
NPI 1457352874
1600B CONGRESS ST
Portland, ME 04102
(207) 774-5222
✔ PECOS0.9 mi
Juan Palma Vargas, MD
General Surgery
NPI 1528072675
887 CONGRESS ST SUITE 400
Portland, ME 04102
(207) 774-6368
✔ PECOS✔ Accepts Medicare1.1 mi
Samantha Wood, MD
Emergency Medicine
NPI 1568598779
22 BRAMHALL ST
Portland, ME 04102
(207) 662-7046
✔ PECOS✔ Accepts Medicare1.2 mi
Julia Brock, M.D.
Obstetrics/Gynecology
NPI 1285688937
22 BRAMHALL ST
Portland, ME 04102
(207) 662-2749
✔ PECOS1.3 mi
Michael Ferguson, M.D.
Pediatric Medicine
NPI 1013181668
22 BRAMHALL ST MMC PICU
Portland, ME 04102
(207) 662-6711
✔ PECOS✔ Accepts Medicare1.3 mi
Bram Geller, M.D.
Cardiovascular Disease (Cardiology)
NPI 1275828311
22 BRAMHALL ST
Portland, ME 04102
(207) 885-9905
✔ PECOS✔ Accepts Medicare1.3 mi
Mark Parker, M.D.
Nephrology
NPI 1770583346
22 BRAMHALL ST
Portland, ME 04102
(207) 662-0111
✔ PECOS✔ Accepts Medicare1.3 mi
Dena Whitesell, MD
Psychiatry
NPI 1659449320
22 BRAMHALL ST DEPT OF PSYCHIATRY, UNIT P6
Portland, ME 04102
(207) 662-4463
✔ PECOS✔ Accepts Medicare1.3 mi
Heidi Wierman, MD
Geriatric Medicine
NPI 1699868158
22 BRAMHALL ST.
Portland, ME 04102
(207) 662-2875
✔ PECOS✔ Accepts Medicare1.3 mi
Sarah Hallen, M.D.
Internal Medicine
NPI 1033221817
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare1.3 mi
Deborah Hoch, DNP/ACND-BC
Nurse Practitioner
NPI 1154449759
19 WEST ST
Portland, ME 04102
(207) 842-7180
✔ PECOS✔ Accepts Medicare1.5 mi
John Devlin, MD
Endocrinology
NPI 1770686800
144 STATE ST 4TH FLOOR
Portland, ME 04101
(207) 400-8500
✔ PECOS1.7 mi
See all 46 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 9

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2095103

Mainehealth Primary Care Internal And Pediatrics Portland · Portland, ME
Active · expires Jun 20, 2027
CLIA Number20D2095103
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorStephen Digiovanni
Laboratory Phone(207) 662-2911
Laboratory LocationMainehealth Primary Care Internal And Pediatrics Portland22 Bramhall Street, Portland, ME 04102
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 20D1007732

Mainehealth Maine Medical Center Portland · Portland, ME
Active · expires Apr 9, 2027
CLIA Number20D1007732
Laboratory TypeHospital
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorDr. Tarek Hammour
Laboratory Phone(207) 662-4014
Laboratory LocationMainehealth Maine Medical Center Portland22 Bramhall Street, Portland, ME 04102
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 20D0088564

Mainehealth Pediatrics Portland · Portland, ME
Active · expires Aug 11, 2028
CLIA Number20D0088564
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2026
Certificate Expiration DateAugust 11, 2028
Laboratory DirectorJennifer Dubail
Laboratory Phone(207) 662-1442
Laboratory LocationMainehealth Pediatrics Portland1577 Congress Street, Portland, ME 04102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D2079587

Mainehealth Dba Mmc Outpatient Psychiatry · Portland, ME
Active · expires Jun 17, 2028
CLIA Number20D2079587
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorCharles J. Mallo
Laboratory Phone(207) 662-2221
Laboratory LocationMainehealth Dba Mmc Outpatient Psychiatry216 Vaughan Street, Portland, ME 04102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 20D2345588

Mainehealth Dermatology Portland, Kennebunk, Mmc Port · Portland, ME
Active · expires Jun 14, 2028
CLIA Number20D2345588
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorThomas Bander
Laboratory Phone(207) 661-0100
Laboratory LocationMainehealth Dermatology Portland, Kennebunk, Mmc Port1601 Congress Street, Portland, ME 04102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 20D2279791

Mainehealth Dermatopathology · Portland, ME
Active · expires Feb 5, 2028
CLIA Number20D2279791
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorShinya U. Amano
Laboratory Phone(207) 661-0100
Laboratory LocationMainehealth Dermatopathology1601 Congress St Room D117, Portland, ME 04102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Mainehealth's NPI number?

The NPI number for Mainehealth is 1003113127. It was assigned to this organization in the NPPES registry on February 25, 2011. The provider is doing business as Mmp Orthopedics ( Div Of Orthopedic Trauma & Fracture Care).

Where is Mainehealth located?

Mainehealth is located at 335 Brighton Ave Suite 200, Portland, ME 04102. The listed phone number is (207) 662-8600.

What is Mainehealth's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Mainehealth enrolled in Medicare?

Yes. Mainehealth is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mainehealth?

According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 17 Medicare specialties reassign their Medicare billing to Mainehealth. A 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 the clinician's services. The largest specialties are Nephrology (10), Geriatric Medicine (7) and Cardiovascular Disease (Cardiology) (6). Of these, 39 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mainehealth hold CLIA laboratory certificates?

Yes. 9 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mainehealth was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.