MMC DIABETES CONSULT SERVICE
NPI 1699076133
Internal Medicine - Endocrinology, Diabetes & Metabolism in Portland, ME

Active since November 16, 2010
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2651 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).

About Mmc Diabetes Consult Service NPPES

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

MMC DIABETES CONSULT SERVICE (NPI 1699076133) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Portland, Maine and active in the NPI registry since November 2010. The organization lists Lugene Anthony Inzana, Associate Cfo, as its authorized official.

NPPES Registry Identity

NPI1699076133
Entity TypeOrganization
Primary Taxonomy207RE0101X
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
Organization SubpartNo
Authorized OfficialLugene Anthony InzanaAssociate Cfo · (207) 662-3538
Enumeration DateNovember 16, 2010
Last NPPES UpdateMay 11, 20202 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
✔ NPI 1699076133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
22 BRAMHALL ST, Portland, ME 04102

Other Names 1

Doing Business AsMmc Diabetes Consult Service

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 Diabetes Consult Service is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

46

Medicare enrollment records show 46 clinicians reassign Medicare billing to Mmc Diabetes Consult Service, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 39 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nephrology10
Geriatric Medicine7
Cardiovascular Disease (Cardiology)6
General Surgery4
Internal Medicine3
Pediatric Medicine3
Nurse Practitioner2
Obstetrics/Gynecology2
9 other specialties9

Nearest to this location (20)

See all 46
Obstetrics/Gynecology
NPI 1285688937
22 BRAMHALL ST
Portland, ME 04102
(207) 662-2749
✔ PECOSSame address
Pediatric Medicine
NPI 1013181668
22 BRAMHALL ST MMC PICU
Portland, ME 04102
(207) 662-6711
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1275828311
22 BRAMHALL ST
Portland, ME 04102
(207) 885-9905
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1770583346
22 BRAMHALL ST
Portland, ME 04102
(207) 662-0111
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1659449320
22 BRAMHALL ST DEPT OF PSYCHIATRY, UNIT P6
Portland, ME 04102
(207) 662-4463
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1699868158
22 BRAMHALL ST.
Portland, ME 04102
(207) 662-2875
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1699066647
22 BRAMHALL ST
Portland, ME 04102
(207) 662-0111
✔ PECOSSame address
Emergency Medicine
NPI 1568598779
22 BRAMHALL ST
Portland, ME 04102
(207) 662-7046
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1831357839
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
Geriatric Medicine
NPI 1205060225
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
Geriatric Medicine
NPI 1841367943
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
Geriatric Medicine
NPI 1932367034
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
Geriatric Medicine
NPI 1790122927
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1033221817
66 BRAMHALL ST
Portland, ME 04102
(207) 662-3157
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1205812070
887 CONGRESS ST SUITE 400
Portland, ME 04102
(207) 774-6368
✔ PECOS0.2 mi
General Surgery
NPI 1528072675
887 CONGRESS ST SUITE 400
Portland, ME 04102
(207) 774-6368
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1154449759
19 WEST ST
Portland, ME 04102
(207) 842-7180
✔ PECOS✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1013080852
144 STATE ST
Portland, ME 04101
(207) 879-3000
✔ PECOS✔ Accepts Medicare0.5 mi
Endocrinology
NPI 1770686800
144 STATE ST 4TH FLOOR
Portland, ME 04101
(207) 400-8500
✔ PECOS0.5 mi
Internal Medicine
NPI 1134206352
84 MARGINAL WAY SUITE 800
Portland, ME 04101
(207) 774-5816
✔ PECOS0.9 mi
See all 46 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 1699076133. It was assigned to this organization in the NPPES registry on November 16, 2010. The provider is doing business as Mmc Diabetes Consult Service.

Where is Mainehealth located?

Mainehealth is located at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2651.

What is Mainehealth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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), 46 clinicians in 17 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 Nephrology (10), Geriatric Medicine (7) and Cardiovascular Disease (Cardiology) (6). Of these, 8 practice at this address and 39 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.