NPIMap

Individual provider Active NPI

Anthony S. Martin, PA

  • Physician Assistant
  • Portland, ME
National Provider Identifier
1427338698
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1399 Issued in ME
Practice address
211 Cumberland Ave
Portland, ME 04101-4935
Phone
(207) 874-2141
NPI assigned
Aug 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1399 ME Primary

Addresses

Primary practice location

211 Cumberland Ave
Portland, ME 04101-4935

Mailing address

180 Church Hill Rd Ste 1
Leeds, ME 04263-3418
Phone (207) 524-3501

Other practice location 1

11 Academy Rd
Monmouth, ME 04259-7035
Phone (207) 524-3501

Other identifiers 2

IdentifierTypeStateIssuer
020529MedicaidAZ
1427338698MedicaidME

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
I20130923000831 ME Practitioner - Physician Assistant 5496927154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Community Health CenterGroup PAC ID 5395998017, 37 clinicians

Practice addresses (Care Compare)

180 Park Ave
Portland, ME 04102-2957
Phone (207) 874-2141

211 Cumberland Ave
Portland, ME 04101-4935
Phone (207) 874-2141

59 Riverton Dr
Portland, ME 04103-1050
Phone (207) 747-4856

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4892AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Community Health Center CurrentSince May 1, 2023 Accepting new patients
Mainehealth CurrentSince Apr 15, 2022 Accepting new patients
Mainehealth CurrentSince Apr 15, 2022 Accepting new patients
Portland Community Health Center CurrentSince May 1, 2023 Accepting new patients

Locations

180 Park Ave
Portland, ME 04102
Phone (207) 772-3703

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

59 Riverton Dr
Portland, ME 04103

211 Cumberland Ave
Portland, ME 04101

Interoperability endpoints

  • Direct secure messaging: anthony.martin.p1@direct.portlandchc.nextgenshare.com

Organizations & group practices 6

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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1427338698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CHURCH HILL RD STE 1",
            "city": "LEEDS",
            "state": "ME",
            "postal_code": "042633418",
            "telephone_number": "207-524-3501",
            "fax_number": "207-524-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CUMBERLAND AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014935",
            "telephone_number": "207-874-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Academy Rd",
            "address_purpose": "LOCATION",
            "city": "Monmouth",
            "state": "ME",
            "postal_code": "042597035",
            "country_code": "US",
            "telephone_number": "207-524-3501",
            "fax_number": "207-933-9645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANTHONY",
        "middle_name": "S.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020529",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427338698",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.