PORTLAND ENDOSCOPY CENTER
NPI 1558456459
Clinic/Center - Ambulatory Surgical in Portland, ME

Q: What is Portland Endoscopy Center's NPI number?

The NPI number for Portland Endoscopy Center is 1558456459. It was assigned to this organization in the NPPES registry on October 4, 2006.

Q: What is Portland Endoscopy Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since October 04, 2006CLIA 20D0864869 · Waiver

161 MARGINAL WAY, PORTLAND, ME 04101(207) 773-7964(207) 773-9073 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2025, Sep 8, 2022, Dec 23, 2019 and 2 more (5 updates tracked since 2018).

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About Portland Endoscopy Center NPPES

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

PORTLAND ENDOSCOPY CENTER (NPI 1558456459) is a healthcare organization registered as an ambulatory surgical in Portland, Maine and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Melissa Gousse, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1558456459

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePORTLAND ENDOSCOPY CENTER

Location Address161 MARGINAL WAYPortland, ME 04101-2438

Mailing Address161 Marginal WayPortland, ME 04101-2438 · (207) 773-7964 · Fax (207) 773-9073

Phone(207) 773-7964

Fax(207) 773-9073

Organization SubpartNo

Authorized OfficialMelissa GoussePractice Administrator · (207) 773-7964

Enumeration DateOctober 4, 2006

Last NPPES UpdateFebruary 14, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2025

✔ NPI 1558456459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

161 MARGINAL WAY, Portland, ME 04101

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Other Identifiers 1

Medicaid118790000ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D0864869

Portland Endoscopy Center · Portland, ME

Active · expires Aug 31, 2026

CLIA Number20D0864869

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorKate Kennedy

Laboratory Phone(207) 773-7964

Laboratory LocationPortland Endoscopy Center161 Marginal Way Attn Leslie Meggison, Portland, ME 04101

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

840 services836 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

329 services323 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

219 services217 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

202 services201 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

95 services95 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

80 services79 patients

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.

LUCY A MACK FNP

Nurse Practitioner (Family)