PORTLAND GASTROENTEROLOGY ASSOCIATES P.A.
NPI 1508087289
Internal Medicine - Gastroenterology in Portland, ME

Active since May 01, 2007
161 MARGINAL WAY, PORTLAND, ME 04101(207) 773-7964(207) 773-9073 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2023, Dec 23, 2019, Jul 18, 2018 (3 updates tracked since 2018).

About Portland Gastroenterology Associates P.a. NPPES

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

PORTLAND GASTROENTEROLOGY ASSOCIATES P.A. (NPI 1508087289) is a healthcare organization registered as a gastroenterology in Portland, Maine and active in the NPI registry since May 2007. The organization lists Melissa Gousse, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1508087289
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePORTLAND GASTROENTEROLOGY ASSOCIATES P.A.
Location Address161 MARGINAL WAYPortland, ME 04101
Mailing Address161 Marginal WayPortland, ME 04101-2438 · (207) 773-7964 · Fax (207) 773-9073
Fax(207) 773-9073
Organization SubpartNo
Authorized OfficialMelissa GoussePractice Administrator · (207) 773-7964
Enumeration DateMay 1, 2007
Last NPPES UpdateFebruary 3, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
✔ NPI 1508087289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
161 MARGINAL WAY, Portland, ME 04101

Other Identifiers 1

Medicaid111280000ME

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portland Gastroenterology Associates P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMaineEnrollment IDO20040630000866Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to Portland Gastroenterology Associates P.A., which bills Medicare for the services they deliver. Of these, 25 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Gastroenterology20
Nurse Practitioner14

Nearest to this location (20)

See all 34
Gastroenterology
NPI 1164710075
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1659690956
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497881833
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548820384
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1154429918
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOSSame address
Gastroenterology
NPI 1558396523
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1689061954
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982156618
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679681456
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1902904758
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOSSame address
Gastroenterology
NPI 1134325806
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1558456442
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOSSame address
Nurse Practitioner
NPI 1013955673
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOSSame address
Nurse Practitioner
NPI 1669722013
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1033126826
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1114025988
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1679512719
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1376986513
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1285689505
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831488477
161 MARGINAL WAY
Portland, ME 04101
(207) 773-7964
✔ PECOS✔ Accepts MedicareSame address
See all 34 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 Portland Gastroenterology Associates P.A.'s NPI number?

The NPI number for Portland Gastroenterology Associates P.A. is 1508087289. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Portland Gastroenterology Associates P.A. located?

Portland Gastroenterology Associates P.A. is located at 161 Marginal Way, Portland, ME 04101. The listed phone number is (207) 773-7964.

What is Portland Gastroenterology Associates P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Portland Gastroenterology Associates P.A. enrolled in Medicare?

Yes. Portland Gastroenterology Associates P.A. is registered in the Medicare PECOS enrollment system.

When is Portland Gastroenterology Associates P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maine, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Portland Gastroenterology Associates P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 2 Medicare specialties reassign their Medicare billing to Portland Gastroenterology Associates P.A.. 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 Gastroenterology (20) and Nurse Practitioner (14). Of these, 25 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portland Gastroenterology Associates P.A. accept?

Health plans from Ambetter from NH Healthy Families and Taro Health list Portland Gastroenterology Associates P.A. 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 Portland Gastroenterology Associates P.A. was last updated on February 3, 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.