Individual provider Active NPI

Edward Blodgett Cook, DO

  • Clinical Biochemical Genetics Physician
  • Portland, ME
National Provider Identifier
1285168666
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Biochemical Genetics PhysicianTaxonomy code 207SG0202X
License
DO3776 Issued in ME
Practice address
1577 Congress St Ste 2
Portland, ME 04102-2169
Phone
(207) 662-5522
NPI assigned
Apr 12, 2017
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DO3776 ME
Clinical Biochemical Genetics Physician 207SG0202X DO3776 ME Primary
Clinical Genetics (M.D.) Physician 207SG0201X DO3776 ME

Addresses

Primary practice location

1577 Congress St Ste 2
Portland, ME 04102-2169

Mailing address

1577 Congress St Ste 2
Portland, ME 04102-2169
Phone (207) 662-5522

Other practice location 1

46 First Park Dr Ste D
Oakland, ME 04963-5376
Phone (207) 680-2117

Other practice location 2

15 Anchor Dr Ste 103
Rockport, ME 04856-3847
Phone (207) 301-5600

Other practice location 3

4 Shape Dr
Kennebunk, ME 04043-6760
Phone (207) 662-5143

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
I20240807004185 ME Practitioner - Pediatric Medicine 3375965171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1577 Congress St
Portland, ME 04102-2169

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

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
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DO3776MEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 9, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Sep 9, 2024 Accepting new patients
Mainehealth Pediatrics Past Accepting new patients

Locations

4 Shape Dr
Kennebunk, ME 04043
Phone (207) 467-8988

46 First Park Dr
Ste D
Oakland, ME 04963
Phone (207) 680-2117

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

1577 Congress St
Ste 2
Portland, ME 04102
Phone (207) 662-1622

15 Anchor Dr
Ste 103
Rockport, ME 04856
Phone (207) 301-5600

Interoperability endpoints

  • Direct secure messaging: ecook133615@direct.mmc.mainehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1285168666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 CONGRESS ST STE 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022169",
            "telephone_number": "207-662-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 CONGRESS ST STE 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022169",
            "telephone_number": "207-662-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 First Park Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "ME",
            "postal_code": "049635376",
            "country_code": "US",
            "telephone_number": "207-680-2117",
            "fax_number": "207-680-2119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Anchor Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048563847",
            "country_code": "US",
            "telephone_number": "207-301-5600",
            "fax_number": "207-301-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Shape Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436760",
            "country_code": "US",
            "telephone_number": "207-662-5143",
            "fax_number": "207-661-8104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "EDWARD",
        "middle_name": "BLODGETT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "DO3776",
            "primary": false
        },
        {
            "code": "207SG0202X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Biochemical Genetics",
            "state": "ME",
            "license": "DO3776",
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "ME",
            "license": "DO3776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.