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MARK J INTEGLIA M.D.
NPI 1790717312
Pediatrics - Pediatric Gastroenterology in Portland, ME

Active since July 06, 2006PECOS Enrolled
887 CONGRESS ST, SUITE 410B, PORTLAND, ME 04102(207) 662-5522(207) 662-5526 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark J Integlia M.d. NPPES

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

MARK J INTEGLIA M.D. (NPI 1790717312) is an individual pediatric gastroenterology provider in Portland, Maine, licensed in Maine (015427) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790717312
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameMARK J INTEGLIACredential: M.D.
Location Address887 CONGRESS ST, SUITE 410BPortland, ME 04102-3100
Mailing Address301 Us Route 1, Building CScarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 662-5522
Fax(207) 662-5526
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateJanuary 10, 2011
✔ NPI 1790717312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in ME · 015427
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 015427 (ME)
887 CONGRESS ST, Portland, ME 04102
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINH29683ME
Medicaid283380099ME
Medicaid30201387NH
Medicare PINMM8650ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark J Integlia M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Integlia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elliot Professional Services
73 mi
Internal Medicine
1070 HOLT AVE, UNIT 1, SUITE 2200
Manchester, NH 03109
  • Reassigned Medicare billing, New Hampshire enrollment
  • 446 clinicians in this Medicare group
NPI 1285627935 (603) 663-4900

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.

New Patient
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. NICOLE L. MIZNER C.P.N.P.
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 310
PORTLAND, ME 04102
Cumberland County (207) 773-2723
KENNETH LOMBARD M.D.
Pediatrics (Pediatric Gastroenterology)
887 CONGRESS ST, SUITE 410B
PORTLAND, ME 04102
Cumberland County (207) 662-5522
JANICE M STILKEY PNP
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522
LESLIE S WU MD
Surgery
887 CONGRESS ST, SUITE 400
PORTLAND, ME 04102
Cumberland County (207) 774-6368
ANNE C COATES M.D.
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLANAD, ME 04102
Cumberland County (207) 662-5522
MARIE H TANZER MD
Pediatrics (Pediatric Nephrology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522
MAINEHEALTH
Obstetrics & Gynecology (Maternal & Fetal Medicine)
887 CONGRESS ST, SUITE 200
PORTLAND, ME 04102
Cumberland County (207) 771-5549
DR. COLBY A WYATT MD PHD
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522

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 Mark Integlia's NPI number?

The NPI number for Mark Integlia is 1790717312. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Mark Integlia located?

Mark Integlia practices at 887 Congress St Suite 410B, Portland, ME 04102. The listed phone number is (207) 662-5522.

What is Mark Integlia's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Mark Integlia enrolled in Medicare?

Yes. Mark Integlia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Integlia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Integlia reassigns Medicare benefits to Elliot Professional Services (Manchester, NH). The 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 Mark Integlia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Integlia accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list Mark Integlia 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 Mark Integlia was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.