Individual provider Active NPI

Leonard D Genovese, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Brunswick, ME
National Provider Identifier
1366702805
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
MD27061 Issued in ME
Practice address
121 Medical Center Dr
Brunswick, ME 04011-2653
Phone
(207) 373-6000
NPI assigned
May 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD044175 DC
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X MD27061 ME Primary
Internal Medicine Physician 207R00000X MD27061 ME
Cardiovascular Disease Physician 207RC0000X 0101267410 VA
Cardiovascular Disease Physician 207RC0000X MD27061 ME
Nuclear Cardiology Physician 207UN0901X MD27061 ME

Addresses

Primary practice location

121 Medical Center Dr
Brunswick, ME 04011-2653

Mailing address

121 Medical Center Dr Ste 3100
Brunswick, ME 04011-2672
Phone (207) 729-7939

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2414

Other practice location 2

24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, ME3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200709000669 VA Practitioner - HospitalistPractitioner - Internal Medicine 4981907334 Reassigns benefits to 1 organization
I20230727000341 ME Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981907334 Reassigns benefits to 1 organization
I20250410003040 ME Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4981907334 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Internal Medicine
Education
Other, 2012
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)

121 Medical Ctr Dr
Brunswick, ME 04011-2672
Phone (207) 729-7939

22 Bramhall St
Portland, ME 04102-3134

24 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (844) 292-0111

5 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (207) 563-3782

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
MD27061MEMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Dec 16, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jul 1, 2023 Accepting new patients
Mainehealth CurrentSince Jul 1, 2023 Accepting new patients
Mainehealth Internal Medicine CurrentSince Jan 24, 2025 Accepting new patients
Mainehealth Past Accepting new patients

Locations

121 Medical Center Dr
Ste 3100
Brunswick, ME 04011
Phone (207) 729-7939

24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250

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

Interoperability endpoints

  • Direct secure messaging: lgenovese589460@direct.mmc.mainehealth.org
  • Direct secure messaging: lgenovese156202@soc.inova.org

Organizations & group practices 8

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": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1366702805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MEDICAL CENTER DR STE 3100",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112672",
            "telephone_number": "207-729-7939",
            "fax_number": "207-808-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MEDICAL CENTER DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112653",
            "telephone_number": "207-373-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-2414",
            "fax_number": "207-662-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Miles Center Way",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434067",
            "country_code": "US",
            "telephone_number": "207-563-4811",
            "fax_number": "207-810-2380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENOVESE",
        "first_name": "LEONARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD044175",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "ME",
            "license": "MD27061",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD27061",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101267410",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "MD27061",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "ME",
            "license": "MD27061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.