Individual provider Active NPI

Todd Alan Tritch, M.D.

  • Family Medicine Physician
  • New Gloucester, ME
National Provider Identifier
1306026794
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
013713 Issued in ME
Practice address
30 Cobbs Bridge Rd
New Gloucester, ME 04260-3838
Phone
(207) 756-3571
NPI assigned
Nov 14, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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 013713 ME Primary

Addresses

Primary practice location

30 Cobbs Bridge Rd
New Gloucester, ME 04260-3838

Mailing address

30 Cobbs Bridge Rd
New Gloucester, ME 04260-3838
Phone (207) 756-3571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050720000703 ME Practitioner - Family PracticePractitioner - Emergency Medicine 8123055233 Reassigns benefits to 2 organizations
I20241015001664 FL Practitioner - Family Practice 8123055233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penobscot Valley HospitalGroup PAC ID 8426942889, 14 clinicians

Practice addresses (Care Compare)

7 Transalpine Rd
Lincoln, ME 04457-4222
Phone (207) 794-3321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013713MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Oct 24, 2024 Accepting new patients
Penobscot Valley Hospital CurrentSince Jul 1, 2017 Accepting new patients
Ies Florida PLLC CurrentSince Oct 3, 2024 Accepting new patients
Small Hospital Innovations LLC CurrentSince Dec 1, 2024 Accepting new patients
Penobscot Valley Hospital CurrentSince Jul 1, 2017 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

8919 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 416-1150

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

7 Transalpine Rd
Lincoln Ctr, ME 04457
Phone (207) 794-3321

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1306026794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COBBS BRIDGE RD",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "042603838",
            "telephone_number": "207-756-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COBBS BRIDGE RD",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "042603838",
            "telephone_number": "207-756-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITCH",
        "first_name": "TODD",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "013713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Gloucester, ME

Sources for this page

Verify at the official NPI Registry.