Active NPI
Internal Medicine of Southern Maine, LLC
- Internal Medicine Physician
- Kennebunk, ME
National Provider Identifier
1124790282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTERNAL MEDICINE OF SOUTHERN MAINE, LLC
- Practice address
- 2 Independence Dr Ste B
Kennebunk, ME 04043-6078 - Phone
- (207) 671-2143
- NPI assigned
- Sep 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Cutone, DO
- Title
- Partner
- Phone
- (207) 671-2143
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2 Independence Dr Ste B
Kennebunk, ME 04043-6078
Mailing address
9 Spruce Ave
Kennebunkport, ME 04046-5147
Phone (207) 671-2143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2238190 | Internal Medicine of Southern Maine, LLC | Certificate of waiver | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Biddeford, ME
- NPI 1831152743
-
- Internal Medicine Physician
- Biddeford, ME
- NPI 1003879909
-
- Physician Assistant
- Biddeford, ME
- NPI 1174022453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633996800000",
"number": "1124790282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SPRUCE AVE",
"city": "KENNEBUNKPORT",
"state": "ME",
"postal_code": "040465147",
"telephone_number": "207-671-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 INDEPENDENCE DR STE B",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436078",
"telephone_number": "207-671-2143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE OF SOUTHERN MAINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-28",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A",
"authorized_official_last_name": "CUTONE",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "207-671-2143",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.