1. Home
  2. Directory
  3. Maine
  4. South Portland
  5. Pediatrics
  6. NPI Profile

ANDREW J. TENENBAUM DO
NPI 1811933252
Pediatrics in South Portland, ME

Active since June 22, 2006PECOS Enrolled
100 FODEN RD, WEST, SUITE 303, SOUTH PORTLAND, ME 04106(207) 523-3767(207) 523-8596 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2026, Jul 21, 2022, May 23, 2017 (3 updates tracked since 2017).

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

NPI1811933252
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANDREW J. TENENBAUMCredential: DO
Location Address100 FODEN RD, WEST, SUITE 303South Portland, ME 04106
Mailing Address100 Gannett Dr Ste CSouth Portland, ME 04106-5900 · (207) 347-2947 · Fax (207) 874-2317
Phone(207) 523-3767
Fax(207) 523-8596
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateMarch 20, 20263 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1811933252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · 1932
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 FODEN RD, WEST, South Portland, ME 04106
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew J. Tenenbaum Do 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.

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.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY B. VIOLA DPT
Physical Therapist
100 FODEN RD, WEST, STE 205
SOUTH PORTLAND, ME 04106
Cumberland County (207) 780-8860
KAREN WEISS PNP
Nurse Practitioner (Pediatrics)
100 FODEN RD, WEST, SITE 303
SOUTH PORTLAND, ME 04106
Cumberland County (207) 523-3767
DR. MARGARET J. ZAMBONI DO
Pediatrics
100 FODEN RD, WEST, SUITE 303
SOUTH PORTLAND, ME 04106
Cumberland County (207) 523-3767
BENJAMIN D LIESS MD
Otolaryngology
100 FODEN RD, WEST, SUITE 100
SOUTH PORTLAND, ME 04106
Cumberland County (207) 347-2910
DR. CHRISTINA E KILLORAN MD
Dermatology
100 FODEN RD, WEST, SUITE 100
SOUTH PORTLAND, ME 04106
Cumberland County (207) 523-3900
ROLAND ADAMS PT
Physical Therapist
100 FODEN RD, WEST, SUITE 205
PORTLAND, ME 04106
Cumberland County (207) 780-8860
TODD D. LAMOREAU PT
Physical Therapist
100 FODEN RD, WEST, SUITE 205
SOUTH PORTLAND, ME 04106
Cumberland County (207) 780-8860
LISA L BULTHUIS NP
Nurse Practitioner (Family)
100 FODEN RD, WEST, SUITE 100
SOUTH PORTLAND, ME 04106
Cumberland County (207) 523-3904

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.

What insurance does Andrew Tenenbaum accept?

Health plans from Anthem Blue Cross and Blue Shield 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 4 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.