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: October 18, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maine Medical Partners Lakes Region Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,133

Medicare enrollment records show 3,133 clinicians reassign Medicare billing to Maine Medical Partners Lakes Region Primary Care, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 72

Nurse Practitioner617
Certified Registered Nurse Anesthetist (CRNA)251
Internal Medicine247
Clinical Social Worker234
Emergency Medicine211
Family Practice203
Pediatric Medicine136
Hospitalist120
64 other specialties1,114

Nearest to this location (20)

See all 3,133
Physical Therapist in Private Practice
NPI 1396807764
584 ROOSEVELT TRL UNIT 2
Windham, ME 04062
(207) 661-2828
Same address
Physical Therapist in Private Practice
NPI 1720707219
584 ROOSEVELT TRL
Windham, ME 04062
(207) 661-2854
Same address
Internal Medicine
NPI 1700953015
584 ROOSEVELT TRAIL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609246834
584 ROOSEVELT TRL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1033234224
584 ROOSEVELT TRL
Windham, ME 04062
(207) 662-8907
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1992728323
584 ROOSEVELT TRL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1730110586
584 ROOSEVELT TRL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1487722278
584 ROOSEVELT TRAIL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1760584007
582 ROOSEVELT TRAIL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215225362
582 ROOSEVELT TRL
Windham, ME 04062
(207) 892-3233
✔ PECOSSame address
Mental Health Counselor
NPI 1336024504
582 ROOSEVELT TRL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598406639
582 ROOSEVELT TRL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649415845
582 ROOSEVELT TRL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1851551097
582 ROOSEVELT TRAIL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1083236459
582 ROOSEVELT TRL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801495353
582 ROOSEVELT TRL
Windham, ME 04062
(207) 892-3233
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1063505782
582 ROOSEVELT TRAIL
Windham, ME 04062
(207) 892-3233
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1770936528
212 SEBAGO LAKE RD
Gorham, ME 04038
(207) 590-0910
✔ PECOS✔ Accepts Medicare4.9 mi
Clinical Social Worker
NPI 1972721306
117 ORCHARD RD
Cumberland, ME 04021
(207) 756-4475
✔ PECOS6.8 mi
Orthopedic Surgery
NPI 1750380838
85 BRUCE HILL RD
Cumberland, ME 04021
(207) 829-8274
✔ PECOS7.0 mi
See all 3,133 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

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.

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.

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), 3,133 clinicians in 72 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 Nurse Practitioner (617), Certified Registered Nurse Anesthetist (CRNA) (251) and Internal Medicine (247). Of these, 16 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.