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STEVEN BLUMENTHAL MD
NPI 1275565384
Pediatrics in Portland, ME

Active since July 07, 2006PECOS Enrolled
180 PARK AVE, PORTLAND, ME 04102(207) 772-3703(207) 773-1177 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2023, Dec 10, 2018 (2 updates tracked since 2018).

About Steven Blumenthal Md NPPES

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

STEVEN BLUMENTHAL MD (NPI 1275565384) is an individual pediatrics provider in Portland, Maine, licensed in Maine (012914) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275565384
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSTEVEN BLUMENTHALCredential: MD
Location Address180 PARK AVEPortland, ME 04102-2927
Mailing Address75 John Roberts Rd Bldg BSouth Portland, ME 04106-6967 · (207) 775-4151 · Fax (207) 396-8632
Phone(207) 772-3703
Fax(207) 773-1177
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1275565384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · 012914
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.
180 PARK AVE, Portland, ME 04102
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Other Identifiers 1

Medicaid296060099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven Blumenthal 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.

MR. PETER O'DONNELL NP
Nurse Practitioner
180 PARK AVE
PORTLAND, ME 04102
Cumberland County (207) 828-2402
KRISTEN STOGSDILL RN
Registered Nurse
180 PARK AVE
PORTLAND, ME 04102
Cumberland County (207) 874-2141
ELIZABETH FRUTIGER MD
Family Medicine
180 PARK AVE
PORTLAND, ME 04102
Cumberland County (207) 874-2141
ALICE M MERRITT RN
Registered Nurse
180 PARK AVE, FIRST FLOOR
PORTLAND, ME 04102
Cumberland County (207) 874-2141
VALERIE ANNE BRAMBLE RN
Registered Nurse
180 PARK AVE, FIRST FLOOR
PORTLAND, ME 04102
Cumberland County (207) 874-2141
HEIDI SISTARE
Social Worker (Clinical)
180 PARK AVE
PORTLAND, ME 04102
Cumberland County (207) 874-2141
TIFFANY A BOURQUE RN
Registered Nurse
180 PARK AVE, FIRST FLOOR
PORTLAND, ME 04102
Cumberland County (207) 874-2141
RENEE D LOWELL LPN
Licensed Practical Nurse
180 PARK AVE, FIRST FLOOR
PORTLAND, ME 04102
Cumberland County (207) 874-2141

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 Steven Blumenthal's NPI number?

The NPI number for Steven Blumenthal is 1275565384. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Steven Blumenthal located?

Steven Blumenthal practices at 180 Park Ave, Portland, ME 04102. The listed phone number is (207) 772-3703.

What is Steven Blumenthal's specialty?

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

Is Steven Blumenthal enrolled in Medicare?

Yes. Steven Blumenthal is registered in the Medicare PECOS enrollment system.

What insurance does Steven Blumenthal accept?

Health plans from Harvard Pilgrim Health Care list Steven Blumenthal 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 Steven Blumenthal was last updated on July 18, 2023. 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.