Matthew Fasolino, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO2951 Issued in ME

Practice address

272 Congress St
Portland, ME 04101-3637

Phone

(207) 662-5856

NPI assigned

May 29, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Courage Center LLC

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Gorham, ME
  • NPI 1780468306
  NPD (past)
• Eastern Maine Medical Center

  • Rehabilitation Hospital Unit
  • Bangor, ME
  • NPI 1780674689
  NPD (past)
• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  NPD (past)

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1477081990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013637",
            "telephone_number": "207-662-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013637",
            "telephone_number": "207-662-5856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Main St",
            "address_purpose": "LOCATION",
            "city": "Gorham",
            "state": "ME",
            "postal_code": "040381309",
            "country_code": "US",
            "telephone_number": "207-632-0763",
            "fax_number": "207-222-0157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASOLINO",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-29",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Farrar
• Thomas Farrar, MD
• Chloe Farrell, FNP
• Stacey R Farrington, ANP
• Olin Fields Farrior Jr., D.M.D.
• Gavin Faulkner
• Christina Fay, LCSW, LADC, CCS
• Feel at Home Residential Care
• Farid Feghali, PT
• Alex D Feinberg, LMSW-CC

• Family Medicine Physician in Portland, ME
• Providers in Portland, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.