Individual provider Active NPI

Alida Ovrutsky Leavitt, M.D.

  • Obstetrics & Gynecology Physician
  • Portland, ME
National Provider Identifier
1003340175
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD24923 Issued in ME
Practice address
84 Marginal Way Ste 900
Portland, ME 04101-2476
Phone
(207) 874-2445
Fax
(207) 523-8598
NPI assigned
Apr 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD24923 ME Primary

Addresses

Primary practice location

84 Marginal Way Ste 900
Portland, ME 04101-2476

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900
Phone (207) 347-2947

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-5400

Other practice location 2

887 Congress St Ste 200
Portland, ME 04102-3166
Phone (207) 771-5549

Other names 1

  • Dr. Alida Rose Ovrutsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813001149 ME Practitioner - Obstetrics/Gynecology 5193129005 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermed PAGroup PAC ID 5092605261, 185 clinicians

Practice addresses (Care Compare)

100 Foden Rd
South Portland, ME 04106-2327
Phone (207) 874-1489

100 Foden Rd W
Suite 100
South Portland, ME 04106-2327
Phone (207) 523-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD24923MEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Obstetrics & Gynecology Current Accepting new patients
Maine Medical Partners CurrentSince Jan 4, 2022 Accepting new patients
Mainehealth CurrentSince Oct 31, 2024 Accepting new patients
Mainehealth CurrentSince Oct 31, 2024 Accepting new patients
Maine Medical Partners CurrentSince Jan 4, 2022 Accepting new patients
Intermed, PA CurrentSince Sep 27, 2021 Accepting new patients
Mainehealth Current Accepting new patients
Intermed, PA Obstetrics & Gynecology CurrentSince Sep 27, 2021 Accepting new patients

Locations

84 Marginal Way
Ste 900
Portland, ME 04101
Phone (207) 780-8860

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649

100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122

100 Foden Rd
Ste W-100
South Portland, ME 04106
Phone (207) 523-3900

Interoperability endpoints

  • Direct secure messaging: alida.leavitt@int.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CDGCAA/Endpoint/CDGCAA
  • Direct secure messaging: lleavitt385118@direct.mmc.mainehealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1003340175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GANNETT DR STE C",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065900",
            "telephone_number": "207-347-2947",
            "fax_number": "207-874-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MARGINAL WAY STE 900",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012476",
            "telephone_number": "207-874-2445",
            "fax_number": "207-523-8598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-5400",
            "fax_number": "207-662-6219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "887 Congress St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023166",
            "country_code": "US",
            "telephone_number": "207-771-5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "ALIDA",
        "middle_name": "OVRUTSKY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-16",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD24923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIDA",
            "last_name": "OVRUTSKY",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.