FORE RIVER UROLOGY LLC
NPI 1003248436
Urology in South Portland, ME

Active since August 08, 2013
21 DONALD B DEAN DR, SUITE 1, SOUTH PORTLAND, ME 04106(207) 776-2411 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fore River Urology Llc NPPES

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

FORE RIVER UROLOGY LLC (NPI 1003248436) is a healthcare organization registered as an urology in South Portland, Maine and active in the NPI registry since August 2013. The organization lists Megan Shorey, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003248436
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFORE RIVER UROLOGY LLC
Location Address21 DONALD B DEAN DR, SUITE 1South Portland, ME 04106-3252
Mailing Address21 Donald B Dean Dr, Suite 1South Portland, ME 04106-3252 · (207) 776-2411
Organization SubpartNo
Authorized OfficialMegan ShoreyOffice Manager · (207) 776-2411
Enumeration DateAugust 8, 2013
Last NPPES UpdateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1003248436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X
21 DONALD B DEAN DR, South Portland, ME 04106

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fore River Urology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMaineEnrollment IDO20240216001296DME · Physician - UrologyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Fore River Urology LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Urology
NPI 1942614979
21 DONALD B DEAN DR STE 1
South Portland, ME 04106
(207) 518-6600
✔ PECOSSame address
Urology
NPI 1881905826
21 DONALD B DEAN DR STE 1
South Portland, ME 04106
(207) 518-6600
✔ PECOSSame address
Urology
NPI 1578506143
195 FORE RIVER PARKWAY SUITE 310
Portland, ME 04101
(207) 523-5901
✔ PECOS1.2 mi
Urology
NPI 1174560221
195 FORE RIVER PARKWAY SUITE 310
Portland, ME 04102
(207) 523-5901
✔ PECOS1.2 mi
Urology
NPI 1174762116
195 FORE RIVER PKWY SUITE 310
Portland, ME 04102
(207) 523-5901
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1245718097
91 CAMPUS AVE
Lewiston, ME 04240
(207) 777-8120
✔ PECOS31 mi
Urology
NPI 1487093423
41 MALL RD
Burlington, MA 01805
(781) 744-8585
✔ PECOS91 mi
Urology
NPI 1992186407
MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT ST.
Boston, MA 02114
(617) 726-2800
✔ PECOS100 mi
Interventional Radiology
NPI 1700906294
840 HARRISON AVE
Boston, MA 02118
(617) 638-6610
✔ PECOS100 mi

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

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 Fore River Urology LLC's NPI number?

The NPI number for Fore River Urology LLC is 1003248436. It was assigned to this organization in the NPPES registry on August 8, 2013.

Where is Fore River Urology LLC located?

Fore River Urology LLC is located at 21 Donald B Dean Dr Suite 1, South Portland, ME 04106. The listed phone number is (207) 776-2411.

What is Fore River Urology LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Fore River Urology LLC enrolled in Medicare?

Yes. Fore River Urology LLC is registered in the Medicare PECOS enrollment system.

When is Fore River Urology LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Maine, Physician - Urology) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fore River Urology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Fore River Urology LLC. 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 Urology (7), Interventional Radiology (1) and Nurse Practitioner (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fore River Urology LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Fore River Urology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fore River Urology LLC was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.