Individual provider Active NPI

Michael Nmi Knowland, MD,FACS

  • Otolaryngology Physician
  • South Portland, ME
National Provider Identifier
1477574887
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
011118 Issued in ME
Practice address
130 Clifford St
South Portland, ME 04106-6520
Phone
(207) 799-8628
Fax
(207) 767-6089
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 10175663A IN
Otolaryngology Physician 207Y00000X 011118 ME Primary

Addresses

Primary practice location

130 Clifford St
South Portland, ME 04106-6520

Mailing address

130 Clifford St
South Portland, ME 04106-6520
Phone (207) 799-8628

Other practice location 1

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

Other identifiers 1

IdentifierTypeStateIssuer
201311730MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, ND, AZ, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050620000502 ME Practitioner - Otolaryngology 8921042094 Reassigns benefits to 1 organization
I20090121000192 ND Practitioner - Otolaryngology 8921042094 Reassigns benefits to 1 organization
I20120411000171 AZ Practitioner - Otolaryngology 8921042094 Reassigns benefits to 1 organization
I20160222002020 TX Practitioner - Otolaryngology 8921042094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
60.57
Promoting interoperability
98
Improvement activities
40
Cost
77.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10175663AINMDOtolaryngology Physician
011118MEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center Current Accepting new patients
Trinity Health CurrentSince Dec 15, 2017 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Mar 1, 2018 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Mar 1, 2018 Accepting new patients
Trinity Health CurrentSince Dec 15, 2017 Accepting new patients
Central Maine Medical Center CurrentSince Nov 25, 2024 Accepting new patients
Central Maine Medical Center CurrentSince Nov 25, 2024 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Feb 8, 2016 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Feb 8, 2016 Accepting new patients
Foundation Medical Partners Inc. Past Accepting new patients

Locations

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

12 High St
Ste 102
Lewiston, ME 04240
Phone (207) 783-2300

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286

2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 10

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 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1477574887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CLIFFORD ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066520",
            "telephone_number": "207-799-8628",
            "fax_number": "207-767-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CLIFFORD ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066520",
            "telephone_number": "207-799-8628",
            "fax_number": "207-767-6089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-418-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOWLAND",
        "first_name": "MICHAEL",
        "middle_name": "NMI",
        "name_prefix": "Dr.",
        "credential": "MD,FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "10175663A",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "011118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201311730",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.