JUSTIN M POLTAK MD
NPI 1649405747
Anesthesiology in Portland, ME
About Justin M Poltak Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN M POLTAK MD (NPI 1649405747) is an individual anesthesiology provider in Portland, Maine, licensed in Maine (MD20056) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Georgetown University School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Justin M Poltak Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Justin Poltak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Augusta, ME 04330
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: Kennebec Anesthesia Associates PA
- 64 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine General Medical Center
Acute Care Hospitals · Augusta, MEMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, ME 04102
PORTLAND, ME 04102
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 Justin Poltak's NPI number?
The NPI number for Justin Poltak is 1649405747. It was assigned to this individual provider in the NPPES registry on May 19, 2009.
Where is Justin Poltak located?
Justin Poltak practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2526.
What is Justin Poltak's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Justin Poltak enrolled in Medicare?
Yes. Justin Poltak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Justin Poltak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Poltak reassigns Medicare benefits to Kennebec Anesthesia Associates, P.A. (Augusta, ME). The 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 Justin Poltak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Justin Poltak affiliated with any hospitals?
According to CMS data, Justin Poltak is affiliated with Maine General Medical Center.
When was this NPI record last updated?
The NPPES record for Justin Poltak was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Justin M Poltak, MD · NPI 1649405747
Anesthesiology physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since May 19, 2009.
## Identity
- **NPI:** 1649405747 (Entity type: Individual)
- **Enumerated:** May 19, 2009
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** MD20056 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 BRAMHALL ST, Portland, ME 04102-3134
- **Phone:** (207) 662-2526
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kennebec Anesthesia Associates, P.A. (NPI 1992789184, Augusta, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** November 2, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1649405747) · Data from the CMS NPPES public registry.