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LEAH A MALLORY MD
NPI 1275551350
Pediatrics in Portland, ME

Active since July 17, 2006PECOS Enrolled
22 BRAMHALL ST, DEPT. OF PEDIATRICS, PORTLAND, ME 04102(207) 662-2541(207) 662-3172 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Leah A Mallory Md NPPES

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

LEAH A MALLORY MD (NPI 1275551350) is an individual pediatrics provider in Portland, Maine, licensed in Maine (MD17508) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275551350
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLEAH A MALLORYCredential: MD
Location Address22 BRAMHALL ST, DEPT. OF PEDIATRICSPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-2541 · Fax (207) 662-3172
Phone(207) 662-2541
Fax(207) 662-3172
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 2, 2013
✔ NPI 1275551350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in ME · MD17508✔ Licensed in MA · 226905
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
22 BRAMHALL ST, Portland, ME 04102
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Other Names 1

Professional Name (2)Leah Bartsch Mallory Md

Other Identifiers 1

Medicare PIN003011101ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leah A Mallory Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
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.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Leah Mallory's NPI number?

The NPI number for Leah Mallory is 1275551350. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Leah Bartsch Mallory MD.

Where is Leah Mallory located?

Leah Mallory practices at 22 Bramhall St Dept. Of Pediatrics, Portland, ME 04102. The listed phone number is (207) 662-2541.

What is Leah Mallory's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Leah Mallory enrolled in Medicare?

Yes. Leah Mallory is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leah Mallory was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.