Active NPI
Edward Blodgett Cook, DO
- Clinical Biochemical Genetics Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Biochemical Genetics Physician
- License
- DO3776
- Practice address
- 1577 Congress St Ste 2
Portland, ME 04102-2169 - Phone
- (207) 662-5522
- NPI assigned
- Apr 12, 2017
- Last updated
- Jan 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| DO3776 | ME | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | 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
- 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.
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba MaineHealth Medical Group-Specialty Care
- Family Medicine Physician
- Portland, ME
- NPI 1629761978
-
dba MaineHealth Medical Group-Primary Care
- Clinic/Center
- Portland, ME
- NPI 1487346722
Pediatrics
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.