Individual provider Active NPI

Shashi T. Panozzo, MD

  • Family Medicine Physician
  • Yarmouth, ME
National Provider Identifier
1255301701
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD18259 Issued in ME
Practice address
259 Main St
Yarmouth, ME 04096-6723
Phone
(207) 846-9013
Fax
(207) 523-8586
NPI assigned
Jan 26, 2006
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
Family Medicine Physician 207Q00000X MD18259 ME Primary

Addresses

Primary practice location

259 Main St
Yarmouth, ME 04096-6723

Mailing address

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

Other names 1

  • Shashi K. Panozzo Professional 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
I20091223000316 ME Practitioner - Family Practice 8426080755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Intermed PAGroup PAC ID 5092605261, 185 clinicians
Riverview Physical Therapy Limited PartnershipGroup PAC ID 2769393586, shared by 2 NPIs, 58 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

50 Forest Falls Dr
Yarmouth, ME 04096-6937

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermed, PA CurrentSince Mar 9, 2020 Accepting new patients
Intermed, PA Family Medicine CurrentSince Mar 9, 2020 Accepting new patients
Emergency Physicians of Indiana PC Past Accepting new patients
Redimed Dekalb LLC Past Accepting new patients

Locations

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

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

259 Main St
Yarmouth, ME 04096
Phone (207) 846-9013

Interoperability endpoints

  • Direct secure messaging: shashi.panozzo@int.eclinicaldirectplus.com

Organizations & group practices 4

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1255301701",
    "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": "259 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966723",
            "telephone_number": "207-846-9013",
            "fax_number": "207-523-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOZZO",
        "first_name": "SHASHI",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD18259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHASHI",
            "last_name": "PANOZZO",
            "middle_name": "K.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.