DR. EFRAT LELKES MD
NPI 1740437359
Pediatrics in Portland, ME
About Dr. Efrat Lelkes Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EFRAT LELKES MD (NPI 1740437359) is an individual pediatrics provider in Portland, Maine, licensed in Maine (MD26815) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Wisconsin School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
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
Dr. Efrat Lelkes 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 Reassignments
5Medicare enrollment records show Efrat Lelkes reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Augusta, ME 04330
- Reassigned Medicare billing, Maine enrollment
- 978 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Delaware enrollment
- 526 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 2,112 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 1,159 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Efrat Lelkes's NPI number?
The NPI number for Efrat Lelkes is 1740437359. It was assigned to this individual provider in the NPPES registry on August 26, 2008.
Where is Efrat Lelkes located?
Efrat Lelkes practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-3500.
What is Efrat Lelkes's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Efrat Lelkes enrolled in Medicare?
Yes. Efrat Lelkes 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 organizations bill Medicare for Efrat Lelkes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Efrat Lelkes reassigns Medicare benefits to 5 organizations: Mainegeneral Medical Center (Augusta, ME), The Nemours Foundation (Philadelphia, PA), Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Pediatrics Associates (San Francisco, CA). Each 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 Efrat Lelkes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Efrat Lelkes accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Efrat Lelkes 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 Efrat Lelkes was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Dr. Efrat Lelkes, MD · NPI 1740437359
Pediatrics physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since August 26, 2008.
## Identity
- **NPI:** 1740437359 (Entity type: Individual)
- **Enumerated:** August 26, 2008
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD26815 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 BRAMHALL ST, Portland, ME 04102-3134
- **Phone:** (207) 662-3500
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Mainegeneral Medical Center (NPI 1083949184, Augusta, ME); The Nemours Foundation (NPI 1902959653, Philadelphia, PA); Regents Of The University Of California (NPI 1235322348, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Pediatrics Associates (NPI 1376614016, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** February 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740437359) · Data from the CMS NPPES public registry.