NPIMap

Individual provider Active NPI

Richard T Marino Jr., M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
National Provider Identifier
1285665828
Registry record updated Dec 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD16511 Issued in ME
Practice address
66 Bramhall St
Portland, ME 04102-3344
Phone
(207) 662-3157
Fax
(207) 662-4257
NPI assigned
Jul 5, 2006
Last updated
Dec 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD16511 ME
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD16511 ME Primary

Addresses

Primary practice location

66 Bramhall St
Portland, ME 04102-3344

Mailing address

190 Riverside St Unit 6B
Portland, ME 04103-1073
Phone (207) 661-2000

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
I20040803000815 ME Practitioner - Geriatric MedicinePractitioner - Family Practice 1557332665 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Boston University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

131 Franklin Health CMNS
Farmington, ME 04938-6142
Phone (207) 860-4090

22 Bramhall St
Portland, ME 04102-3134

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16511MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 18, 2005 Accepting new patients
Mainehealth CurrentSince Sep 19, 2012 Accepting new patients
Maine Medical Partners CurrentSince Sep 19, 2012 Accepting new patients
Maine Medical Partners Current Accepting new patients
Mainehealth CurrentSince Jan 1, 2008 Accepting new patients
Mainehealth Family Medicine CurrentSince Jul 18, 2005 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners Geriatric Medicine CurrentSince Sep 19, 2012 Accepting new patients
Home for the Aged Past Accepting new patients
Fallbrook Care Operations, LLC Past Accepting new patients
St Josephs Rehabilitation & Residence Past Accepting new patients
Scarborough Operations, LLC Past Accepting new patients

Locations

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

272 Congress St
Portland, ME 04101
Phone (207) 874-2466

66 Bramhall St
Portland, ME 04102
Phone (207) 662-3157

66 Bramhall St
Fl 1
Portland, ME 04102
Phone (207) 662-3101

66 Bramhall St
Ste G1
Portland, ME 04102
Phone (207) 662-2847

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

39 Wallace Ave
South Portland, ME 04106
Phone (207) 761-0650

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: rmarino951@direct.mmc.mainehealth.org

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
Fallbrook CommonsPortland, ME, CCN 205134 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 30, 2024
Dec 30, 2024

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 13

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.

View all 13

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544227200000",
    "number": "1285665828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 RIVERSIDE ST UNIT 6B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031073",
            "telephone_number": "207-661-2000",
            "fax_number": "207-661-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023344",
            "telephone_number": "207-662-3157",
            "fax_number": "207-662-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "RICHARD",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD16511",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "MD16511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.