MAINE FOOT AND ANKLE SPECIALISTS, PLLC
NPI 1679376065
Podiatrist - Foot & Ankle Surgery in Portland, ME

Active since March 31, 2025
619 BRIGHTON AVE, PORTLAND, ME 04102(207) 521-6107 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maine Foot And Ankle Specialists, Pllc NPPES

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

MAINE FOOT AND ANKLE SPECIALISTS, PLLC (NPI 1679376065), doing business as Maine Foot And Ankle Specialits, Pllc, is a healthcare organization registered as a foot & ankle surgery in Portland, Maine and active in the NPI registry since March 2025. The organization lists Jules B Bodo, Ownner/physician, as its authorized official.

NPPES Registry Identity

NPI1679376065
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMAINE FOOT AND ANKLE SPECIALISTS, PLLC
Location Address619 BRIGHTON AVEPortland, ME 04102-2373
Mailing Address619 Brighton AvePortland, ME 04102-2373 · (207) 910-5454
Organization SubpartNo
Authorized OfficialJules B BodoOwnner/physician · (207) 521-6107
Enumeration DateMarch 31, 2025
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1679376065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
619 BRIGHTON AVE, Portland, ME 04102

Other Names 1

Doing Business AsMaine Foot And Ankle Specialits, Pllc

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)

Maine Foot And Ankle Specialists, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Maine Foot And Ankle Specialists, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1235558818
619 BRIGHTON AVE STE 103
Portland, ME 04102
(207) 910-5454
✔ PECOS✔ Accepts MedicareSame address

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 Maine Foot And Ankle Specialists, PLLC's NPI number?

The NPI number for Maine Foot And Ankle Specialists, PLLC is 1679376065. It was assigned to this organization in the NPPES registry on March 31, 2025. The provider is doing business as Maine Foot and Ankle Specialits, PLLC.

Where is Maine Foot And Ankle Specialists, PLLC located?

Maine Foot And Ankle Specialists, PLLC is located at 619 Brighton Ave, Portland, ME 04102. The listed phone number is (207) 521-6107.

What is Maine Foot And Ankle Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Maine Foot And Ankle Specialists, PLLC enrolled in Medicare?

Yes. Maine Foot And Ankle Specialists, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maine Foot And Ankle Specialists, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Maine Foot And Ankle Specialists, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maine Foot And Ankle Specialists, PLLC was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.