MAINE MEDICAL PARTNERS UROLOGY
NPI 1710297494
Urology in South Portland, ME

Active since October 15, 2010CLIA 20D0088565 · Microscopy
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106(207) 773-1728(207) 772-4062 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2022, May 11, 2020, Jul 10, 2018 (3 updates tracked since 2018).

About Maine Medical Partners Urology NPPES

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

MAINE MEDICAL PARTNERS UROLOGY (NPI 1710297494) is a healthcare organization registered as an urology in South Portland, Maine and active in the NPI registry since October 2010. The organization holds a CLIA Microscopy certificate valid through September 29, 2027 and lists Lugene Anthony Inzana, Associate Cfo, as its authorized official.

NPPES Registry Identity

NPI1710297494
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMAINEHEALTH
Location Address100 BRICKHILL AVESouth Portland, ME 04106
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-6562
Fax(207) 772-4062
Organization SubpartYesParent: Maine Medical Center
Authorized OfficialLugene Anthony InzanaAssociate Cfo · (207) 662-3538
Enumeration DateOctober 15, 2010
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
NPI 1710297494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 37563 (ME)
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
100 BRICKHILL AVE, South Portland, ME 04106

Other Names 1

Doing Business AsMaine Medical Partners Urology

Accepted 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 for Provider-Performed Microscopy Procedures (PPMP) 20D0088565

Mainehealth Urology Southern & Mountain · South Portland, ME
Active · expires Sep 29, 2027
CLIA Number20D0088565
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorGraham T. Verlee
Laboratory Phone(207) 773-1728
Laboratory LocationMainehealth Urology Southern & Mountain100 Brickhill Avenue, South Portland, ME 04106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
100 BRICKHILL AVE, STE 304
SOUTH PORTLAND, ME 04106
Social Worker
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Massage Therapist
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Massage Therapist
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Urology
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Social Worker
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106

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 1710297494. It was assigned to this organization in the NPPES registry on October 15, 2010. The provider is doing business as Maine Medical Partners Urology.

Where is Mainehealth located?

Mainehealth is located at 100 Brickhill Ave, South Portland, ME 04106. The listed phone number is (207) 773-1728.

What is Mainehealth's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Mainehealth hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 20D0088565) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mainehealth accept?

Health plans from Anthem Blue Cross and Blue Shield list Mainehealth 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 Mainehealth was last updated on December 19, 2022. 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.