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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AUDREY DEFUSCO MD
NPI 1801545603
Internal Medicine - Sports Medicine in Portland, ME

Active since March 21, 2022PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 10, 2026, Aug 12, 2026 (2 updates tracked since 2026).

About Audrey Defusco Md NPPES

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

AUDREY DEFUSCO MD (NPI 1801545603) is an individual sports medicine provider in Portland, Maine, licensed in New Hampshire (39557) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1801545603
Entity TypeIndividualFemale
Primary Taxonomy207RS0010X
Provider Legal NameAUDREY DEFUSCOCredential: MD
Location Address22 BRAMHALL STPortland, ME 04102-3175
Mailing Address22 Bramhall StPortland, ME 04102-3175
Phone(207) 662-0111
Sole ProprietorNo
Enumeration DateMarch 21, 2022
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1801545603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
License✔ Licensed in NH · 39557
Definition
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
22 BRAMHALL ST, Portland, ME 04102
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Secondary Practice Locations 3

Location 11 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-5000
Location 2273 County RdNew London, NH 03257-7700 · Phone (603) 526-2911
Location 310 Alice Peck Day DrLebanon, NH 03766-2900 · Phone (603) 448-3121

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Defusco 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)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Audrey Defusco's NPI number?

The NPI number for Audrey Defusco is 1801545603. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Audrey Defusco located?

Audrey Defusco practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-0111.

What is Audrey Defusco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Audrey Defusco enrolled in Medicare?

Yes. Audrey Defusco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrey Defusco was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.