NPIMap

Individual provider Active NPI

Peter D Kirbach, DO

  • Family Medicine Physician
  • Lewiston, ME
National Provider Identifier
1154594117
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2210 Issued in ME
Practice address
540 College St
Lewiston, ME 04240-5228
Phone
(207) 783-2039
Fax
(207) 782-0184
NPI assigned
Apr 10, 2008
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2210 ME Primary

Addresses

Primary practice location

540 College St
Lewiston, ME 04240-5228

Mailing address

540 College St
Lewiston, ME 04240-5228
Phone (207) 783-2039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000795 ME Practitioner - Family PracticePractitioner - Hospitalist 8022288539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Medical Consultants PCGroup PAC ID 7810229259, 46 clinicians
Pai Participant 7 PCGroup PAC ID 2466788906, 31 clinicians

Practice addresses (Care Compare)

335 Brighton Ave
Portland, ME 04102-2363
Phone (207) 518-8869

367 US Route 1
Suite 3S
Falmouth, ME 04105-1352
Phone (207) 962-1200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Mar 4, 2024 Accepting new patients
Pai Participant 7 PC CurrentSince Nov 1, 2025 Accepting new patients
Maine Medical Consultants PC CurrentSince Jan 1, 2025 Accepting new patients
Ventura Medical Services LLC Family Medicine CurrentSince Jun 27, 2026 Accepting new patients
Mainehealth CurrentSince Mar 4, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Rousseau Enterprises LLC Past Accepting new patients
Waterville Center for Health and Rehab LLC Past Accepting new patients
Woodlawn Nursing Home Inc Past Accepting new patients
Maine Veterans' Home Past Accepting new patients
Cummings Health Care Facility, Inc. Past Accepting new patients
Maine Veterans' Homes Past Accepting new patients

Locations

367 US Route 1
Ste 3S
Falmouth, ME 04105
Phone (207) 939-6789

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

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

91 Auburn St
Ste J1096
Portland, ME 04103
Phone (207) 939-6789

4 Union Park Rd
#8
Topsham, ME 04086
Phone (207) 200-5907

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Montello ManorLewiston, ME, CCN 205006 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2025
Mar 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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

Hospital & facility affiliations 12

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1154594117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 COLLEGE ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405228",
            "telephone_number": "207-783-2039",
            "fax_number": "207-782-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 COLLEGE ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405228",
            "telephone_number": "207-783-2039",
            "fax_number": "207-782-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBACH",
        "first_name": "PETER",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.