BOBAK AHOURAIE PA
NPI 1245000819
Physician Assistant in Sanford, ME

Active since January 04, 2024PECOS EnrolledAccepts Medicare Assignment
25 JUNE ST, SANFORD, ME 04073(207) 490-7000(207) 490-7002 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2025, Apr 24, 2024, Jan 4, 2024 (3 updates tracked since 2024).

About Bobak Ahouraie Pa NPPES

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

BOBAK AHOURAIE PA (NPI 1245000819) is an individual physician assistant in Sanford, Maine, licensed in Maine (PA2640) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245000819
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBOBAK AHOURAIECredential: PA
Location Address25 JUNE STSanford, ME 04073-2621
Mailing Address25 June StSanford, ME 04073-2621 · (207) 490-7000 · Fax (207) 490-7002
Fax(207) 490-7002
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 4, 2024
Last NPPES UpdateFebruary 10, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
NPI 1245000819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ME · PA2640
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
25 JUNE ST, Sanford, ME 04073

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bobak Ahouraie Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143661587
PECOS Enrollment IDI20240515004286
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
25 JUNE ST
SANFORD, ME 04073
Dietitian, Registered
25 JUNE ST
SANFORD, ME 04073
Nurse Practitioner (Psychiatric/Mental Health)
25 JUNE ST
SANFORD, ME 04073
Counselor (Mental Health)
25 JUNE ST
SANFORD, ME 04073
Psychiatry & Neurology (Psychiatry)
25 JUNE ST
SANFORD, ME 04073
Physician Assistant
25 JUNE ST
SANFORD, ME 04073
Psychiatry & Neurology (Psychiatry)
25 JUNE ST
SANFORD, ME 04073
Nurse Anesthetist, Certified Registered
25 JUNE ST
SANFORD, ME 04073

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 Bobak Ahouraie's NPI number?

The NPI number for Bobak Ahouraie is 1245000819. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Bobak Ahouraie located?

Bobak Ahouraie practices at 25 June St, Sanford, ME 04073. The listed phone number is (207) 490-7000.

What is Bobak Ahouraie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bobak Ahouraie enrolled in Medicare?

Yes. Bobak Ahouraie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Bobak Ahouraie affiliated with any hospitals?

According to CMS data, Bobak Ahouraie is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Bobak Ahouraie was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.