ANDREW J. TENENBAUM DO
NPI 1811933252
Pediatrics in South Portland, ME
About Andrew J. Tenenbaum Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW J. TENENBAUM DO (NPI 1811933252) is an individual pediatrics provider in South Portland, Maine, licensed in Maine (1932) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew J. Tenenbaum Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andrew Tenenbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Portland, ME 04106
- Reassigned Medicare billing, Maine enrollment
- 200 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 04106 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH PORTLAND, ME 04106
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 Andrew Tenenbaum's NPI number?
The NPI number for Andrew Tenenbaum is 1811933252. It was assigned to this individual provider in the NPPES registry on June 22, 2006.
Where is Andrew Tenenbaum located?
Andrew Tenenbaum practices at 100 Foden Rd, West Suite 303, South Portland, ME 04106. The listed phone number is (207) 523-3767.
What is Andrew Tenenbaum's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Andrew Tenenbaum enrolled in Medicare?
Yes. Andrew Tenenbaum is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andrew Tenenbaum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Tenenbaum reassigns Medicare benefits to Intermed, PA (South Portland, ME). 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 Andrew Tenenbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Tenenbaum accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Andrew Tenenbaum 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 Andrew Tenenbaum was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Andrew J. Tenenbaum, DO · NPI 1811933252
Pediatrics physician in South Portland, Maine. Individual provider, active in the CMS NPPES registry since June 22, 2006.
## Identity
- **NPI:** 1811933252 (Entity type: Individual)
- **Enumerated:** June 22, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 1932 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 FODEN RD, WEST, SUITE 303, South Portland, ME 04106
- **Phone:** (207) 523-3767 · **Fax:** (207) 523-8596
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Intermed, PA (NPI 1467422733, South Portland, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811933252) · Data from the CMS NPPES public registry.