MMC PEDIATRIC UROLOGY
NPI 1457540486
Urology - Pediatric Urology in Portland, ME

Q: What is Mainehealth's NPI number?

The NPI number for Mainehealth is 1457540486. It was assigned to this organization in the NPPES registry on October 16, 2007. The provider is doing business as Mmc Pediatric Urology.

Q: What is Mainehealth's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Mainehealth was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 16, 2007

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2179 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2020, Jul 10, 2018 (2 updates tracked since 2018).

On this page

About Mmc Pediatric Urology NPPES

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

MMC PEDIATRIC UROLOGY (NPI 1457540486) is a healthcare organization registered as a pediatric urology in Portland, Maine and active in the NPI registry since October 2007. The organization lists Lugene Anthony Inzana, Associate Cfo, as its authorized official.

NPPES Registry Identity

NPI1457540486

Entity TypeOrganization

Primary Taxonomy2088P0231X

Legal Business NameMAINEHEALTH

Location Address22 BRAMHALL STPortland, ME 04102

Mailing Address301 Us Route 1, Building CScarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632

Phone(207) 662-2179

Organization SubpartNo

Authorized OfficialLugene Anthony InzanaAssociate Cfo · (207) 662-3538

Enumeration DateOctober 16, 2007

Last NPPES UpdateMay 11, 20202 updates tracked since enumeration

NPPES CertifiedMay 11, 2020

✔ NPI 1457540486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

22 BRAMHALL ST, Portland, ME 04102

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Other Names 1

Doing Business AsMmc Pediatric Urology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mmc Pediatric Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,142

Medicare enrollment records show 3,142 clinicians reassign Medicare billing to Mmc Pediatric Urology, which bills Medicare for the services they deliver. Of these, 558 practice at this address and 1,572 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 Medicine137

Hospitalist120

64 other specialties1,122

Nearest to this location (20)

See all 3,142

Ruslan Abdukalikov, DO

Anesthesiology

NPI 1831694793

22 BRAMHALL ST
Portland, ME 04102

(207) 662-0111

✔ PECOS✔ Accepts MedicareSame address

Isha Agarwal

Emergency Medicine

NPI 1184117491

22 BRAMHALL ST
Portland, ME 04102

(617) 754-2400

✔ PECOS✔ Accepts MedicareSame address

Seleipiri Akobo, M.D

Family Practice

NPI 1952763914

22 BRAMHALL ST DEPT OF
Portland, ME 04102

(207) 662-4000

✔ PECOS✔ Accepts MedicareSame address

Alexandra Alfonso, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1386262129

22 BRAMHALL ST
Portland, ME 04102

(207) 662-0111

✔ PECOS✔ Accepts MedicareSame address

Abshiro Ali, FNP

Nurse Practitioner

NPI 1932474095

22 BRAMHALL ST
Portland, ME 04102

(207) 662-2911

✔ PECOS✔ Accepts MedicareSame address

Shinya Amano, M.D.

Dermatology

NPI 1184006108

22 BRAMHALL ST
Portland, ME 04102

(207) 662-0111

✔ PECOS✔ Accepts MedicareSame address

Laura Amar-Dolan, M.D.

Pediatric Medicine

NPI 1487953154

22 BRAMHALL ST
Portland, ME 04102

(207) 662-2273

✔ PECOSSame address

Kaitlyn Anderson, OT

Occupational Therapist in Private Practice

NPI 1225624828

22 BRAMHALL ST
Portland, ME 04102

(207) 662-0111

Same address

Nigel Arruda, MD

Internal Medicine

NPI 1972036556

22 BRAMHALL ST
Portland, ME 04102

(207) 662-4618

✔ PECOS✔ Accepts MedicareSame address

Gemma Atticks, LCSW

Clinical Social Worker

NPI 1437738358

22 BRAMHALL STREET
Portland, ME 04102

(076) 622-3572

✔ PECOSSame address

Niveditha Badrinarayanan, MD

Hospitalist

NPI 1801598123

22 BRAMHALL ST
Portland, ME 04102

(207) 662-4618

✔ PECOS✔ Accepts MedicareSame address

Whitney Beeler, M.D.

Radiation Oncology

NPI 1073908505

22 BRAMHALL ST
Portland, ME 04102

(207) 662-4735

✔ PECOS✔ Accepts MedicareSame address

Jeffrey Berman, MD

Ophthalmology

NPI 1407852528

22 BRAMHALL ST
Portland, ME 04102

(207) 662-2934

✔ PECOS✔ Accepts MedicareSame address

Mark Joshua Bernardo, DO

Psychiatry

NPI 1245816602

22 BRAMHALL ST
Portland, ME 04102

(207) 662-0111

✔ PECOS✔ Accepts MedicareSame address

Julia Brock, M.D.

Obstetrics/Gynecology

NPI 1285688937

22 BRAMHALL ST
Portland, ME 04102

(207) 662-2749

✔ PECOSSame address

Meredith Charney, PHD

Clinical Psychologist

NPI 1407058431

22 BRAMHALL ST
Portland, ME 04102

(207) 662-0111

✔ PECOS✔ Accepts MedicareSame address

Mary Collari, CNM

Certified Nurse Midwife (CNM)

NPI 1851359483

22 BRAMHALL ST
Portland, ME 04102

(207) 662-5400

✔ PECOS✔ Accepts MedicareSame address

Joshua Cowgill, M.D.

Cardiovascular Disease (Cardiology)

NPI 1740626738

22 BRAMHALL ST
Portland, ME 04102

(207) 662-6562

✔ PECOS✔ Accepts MedicareSame address

Jessica D'amico, DO

Pulmonary Disease

NPI 1285999292

22 BRAMHALL ST
Portland, ME 04102

(207) 622-2911

✔ PECOS✔ Accepts MedicareSame address

Heidi Deblock, M.D.

Critical Care (Intensivists)

NPI 1922095892

22 BRAMHALL ST
Portland, ME 04102

(207) 662-4618

✔ PECOS✔ Accepts MedicareSame address

See all 3,142 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1457540486. It was assigned to this organization in the NPPES registry on October 16, 2007. The provider is doing business as Mmc Pediatric Urology.

Where is Mainehealth located?

Mainehealth is located at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2179.

What is Mainehealth's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

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), 3,142 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, 558 practice at this address and 1,572 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mainehealth was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.