MAINE MEDICAL PARTNERS LAKES REGION PRIMARY CARE
NPI 1023321593
Internal Medicine in Windham, ME

Active since July 26, 2010CLIA 20D0088043 · Waiver
584 ROOSEVELT TRL, WINDHAM, ME 04062(207) 892-3233(207) 893-0752 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2022, May 11, 2020, Jul 10, 2018 (3 updates tracked since 2018).

About Maine Medical Partners Lakes Region Primary Care NPPES

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

MAINE MEDICAL PARTNERS LAKES REGION PRIMARY CARE (NPI 1023321593) is a healthcare organization registered as an internal medicine in Windham, Maine and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Lugene Anthony Inzana, Svp Finance/cfo, as its authorized official.

NPPES Registry Identity

NPI1023321593
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAINEHEALTH
Location Address584 ROOSEVELT TRLWindham, ME 04062
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-6562
Fax(207) 893-0752
Organization SubpartYes
Authorized OfficialLugene Anthony InzanaSvp Finance/cfo · (207) 662-3538
Enumeration DateJuly 26, 2010
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
NPI 1023321593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 37563 (ME)
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
584 ROOSEVELT TRL, Windham, ME 04062

Other Names 1

Other NameMaine Medical Partners Lakes Region Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 20D0088043

Mainehealth Primary Care Windham And Standish · Windham, ME
Active · expires Apr 13, 2028
CLIA Number20D0088043
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorFred Emerson
Laboratory Phone(207) 892-3233
Laboratory LocationMainehealth Primary Care Windham And Standish582 Roosevelt Trail, Windham, ME 04062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
584 ROOSEVELT TRL
WINDHAM, ME 04062
Optometrist (Low Vision Rehabilitation)
584 ROOSEVELT TRL, SUITE B
WINDHAM, ME 04062
Clinic/Center (Physical Therapy)
584 ROOSEVELT TRL
WINDHAM, ME 04062
Physical Therapist
584 ROOSEVELT TRL
WINDHAM, ME 04062
Family Medicine
584 ROOSEVELT TRL
WINDHAM, ME 04062
Optometrist
584 ROOSEVELT TRL
WINDHAM, ME 04062
Physical Therapist
584 ROOSEVELT TRL
WINDHAM, ME 04062
Optometrist
584 ROOSEVELT TRL
WINDHAM, ME 04062

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 1023321593. It was assigned to this organization in the NPPES registry on July 26, 2010. The provider is also known as Maine Medical Partners Lakes Region Primary Care.

Where is Mainehealth located?

Mainehealth is located at 584 Roosevelt Trl, Windham, ME 04062. The listed phone number is (207) 892-3233.

What is Mainehealth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mainehealth hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D0088043) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mainehealth accept?

Health plans from Anthem Blue Cross and Blue Shield list Mainehealth 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 Mainehealth was last updated on December 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.