JOHANNA HADASSAH NUNEZ MD
NPI 1730611237
Surgery - Surgical Critical Care in Portland, ME

Q: What is Johanna Nunez's NPI number?

The NPI number for Johanna Nunez is 1730611237. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Q: What is Johanna Nunez's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Johanna Nunez was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 03, 2017PECOS Enrolled

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2934(207) 662-6389 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Jul 23, 2026, Apr 13, 2017 (2 updates tracked since 2017).

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About Johanna Hadassah Nunez Md NPPES

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

JOHANNA HADASSAH NUNEZ MD (NPI 1730611237) is an individual surgical critical care provider in Portland, Maine, licensed in Maine (MD30759) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730611237

Entity TypeIndividualFemale

Primary Taxonomy2086S0102X

Provider Legal NameJOHANNA HADASSAH NUNEZCredential: MD

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-2934 · Fax (207) 662-6389

Phone(207) 662-2934

Fax(207) 662-6389

Sole ProprietorNo

Enumeration DateApril 3, 2017

Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1730611237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in ME · MD30759

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License MD30759 (ME)

22 BRAMHALL ST, Portland, ME 04102

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Secondary Practice Locations 2

Location 15323 Harry Hines BlvdDallas, TX 75390-7201 · Phone (214) 456-2735

Location 2887 Congress St Ste 400Portland, ME 04102-3163 · Phone (207) 774-6368 · Fax (207) 774-9388

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johanna Hadassah Nunez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)