NPIMap

Individual provider Active NPI

Marc A Hodroff, M.D.

  • Urology Physician
  • Portland, ME
National Provider Identifier
1174560221
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
016495 Issued in ME
Practice address
195 Fore River Parkway
Suite 310
Portland, ME 04102-2715
Phone
(207) 523-5901
Fax
(207) 523-5902
NPI assigned
May 31, 2006
Last updated
Oct 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 016495 ME Primary

Addresses

Primary practice location

195 Fore River Parkway
Suite 310
Portland, ME 04102-2715

Mailing address

144 State St
Portland, ME 04101-3776
Phone (207) 879-3000

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
I20040901000733 ME Practitioner - Urology 2062487002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Minnesota Medical School, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Fore River Urology LLCGroup PAC ID 5799911566, 10 clinicians

Practice addresses (Care Compare)

21 Donald B Dean Dr
Suite 1
South Portland, ME 04106-3252
Phone (207) 518-6617

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016495MEMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fore River Urology LLC Urology CurrentSince Oct 1, 2013 Accepting new patients
Central Maine Medical Center CurrentSince Apr 30, 2012 Accepting new patients
Central Maine Medical Center CurrentSince Apr 30, 2012 Accepting new patients
Mercy Hospital Past Accepting new patients
Mercy Hospital Past Accepting new patients

Locations

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

329 Maine St
Mere Point, ME 04011
Phone (207) 373-2250

195 Fore River Pkwy
Ste 310
Portland, ME 04102
Phone (207) 523-5901

21 Donald B Dean Dr
#1
South Portland, ME 04106
Phone (207) 518-6617

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7607/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: marc.hodroff.1@7607.direct.athenahealth.com

Organizations & group practices 5

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1174560221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 STATE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013776",
            "telephone_number": "207-879-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FORE RIVER PARKWAY",
            "address_2": "SUITE 310",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022715",
            "telephone_number": "207-523-5901",
            "fax_number": "207-523-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODROFF",
        "first_name": "MARC",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ME",
            "license": "016495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.