Individual provider Active NPI

Corneliu Mircea Ilea

  • Physician Assistant
  • Westbrook, ME
National Provider Identifier
1114573151
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2418 Issued in ME
Practice address
11 Rock Row Ste 120
Westbrook, ME 04092-4877
Phone
(207) 303-3300
Fax
(207) 250-2139
NPI assigned
Aug 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1619 NH
Physician Assistant 363A00000X PA2418 ME Primary

Addresses

Primary practice location

11 Rock Row Ste 120
Westbrook, ME 04092-4877

Mailing address

PO Box 911
Brattleboro, VT 05302-0911
Phone (207) 303-3200

Other practice location 1

2 Independence Dr
Kennebunk, ME 04043-6078
Phone (207) 303-3300

Other practice location 2

105 Topsham Fair Mall Rd Unit 1
Topsham, ME 04086-1773
Phone (207) 303-3300

Other practice location 3

155 Borthwick Ave Ste C
Portsmouth, NH 03801-7156
Phone (603) 828-0100

Other practice location 4

15 Rock Row Ste 110
Westbrook, ME 04092-4877
Phone (207) 303-3300

Other names 1

  • Cornelius Mircea Ilea Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200820000936 NH Practitioner - Physician Assistant 5496171407 Reassigns benefits to 1 organization
I20230412002282 ME Practitioner - Physician Assistant 5496171407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maine Center for Cancer Medicine and Blood Disorders PAGroup PAC ID 0840195186, 69 clinicians

Practice addresses (Care Compare)

11 Rock Row
Westbrook, ME 04092-4877
Phone (207) 303-3300

15 Rock Row
Suite 110
Westbrook, ME 04092-4877
Phone (207) 303-3300

155 Borthwick Ave
Suite C
Portsmouth, NH 03801-7156
Phone (603) 828-0100

2 Independence Dr
Kennebunk, ME 04043-6078
Phone (207) 303-3300

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Center for Cancer Medicine & Blood Disorders, P.a. Physician Assistant CurrentSince Apr 24, 2023 Accepting new patients
Maine Center of Cancer Medicine & Blood Disorders Past Accepting new patients

Locations

2 Independence Dr
Kennebunk, ME 04043
Phone (207) 303-3300

100 Campus Dr
Unit 108
Scarborough, ME 04074
Phone (207) 303-3300

105 Topsham Fair Mall Rd
Unit 1
Topsham, ME 04086
Phone (207) 303-3300

15 Rock Row
Ste 110
Westbrook, ME 04092
Phone (207) 303-3300

11 Rock Row
Ste 120
Westbrook, ME 04092
Phone (207) 303-3000

155 Borthwick Ave
Ste C
Portsmouth, NH 03801
Phone (603) 433-4961

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1114573151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020911",
            "telephone_number": "207-303-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROCK ROW STE 120",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924877",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Independence Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436078",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Topsham Fair Mall Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Topsham",
            "state": "ME",
            "postal_code": "040861773",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Borthwick Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038017156",
            "country_code": "US",
            "telephone_number": "603-828-0100",
            "fax_number": "603-828-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Rock Row Ste 110",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040924877",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILEA",
        "first_name": "CORNELIU",
        "middle_name": "MIRCEA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1619",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORNELIUS",
            "last_name": "ILEA",
            "middle_name": "MIRCEA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.