Organization Active NPI

Mainehealth

  • Family Medicine Physician
  • Portland, ME
National Provider Identifier
1629761978
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAINEHEALTH
Practice address
110 Free St
Portland, ME 04101-3908
Phone
(207) 661-7001
NPI assigned
Jun 1, 2023
Organization subpart
Yes
Parent organization
MAINEHEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Robert Hunter
Title
Senior Vice President - Finance
Phone
(207) 662-2272

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Pediatric Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0120X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471M1202X

Addresses

Primary practice location

110 Free St
Portland, ME 04101-3908

Mailing address

PO Box 360489
Pittsburgh, PA 15251-6489
Phone (207) 887-5100

Other names 1

  • MaineHealth Medical Group-Specialty Care Doing business as

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000166 ME Part B Supplier - Clinic/Group Practice 7517860588 Receives reassigned benefits from 3,561 practitioners
38 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 38

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 38

National Provider Directory

National Provider Directory
Part of
Maine Medical Assoc

Locations (25 of 55)

1606 E Clark Ave
Santa Maria, CA 93455

1 Davis Blvd
Ste 203
Tampa, FL 33606

330 Civic Center Dr
Ste 5
Augusta, ME 04330
Phone (207) 430-4321

108 Centre St
Ste 101
Bath, ME 04530
Phone (207) 373-6125

108 Centre St
Ste 100
Bath, ME 04530
Phone (207) 406-7070

15 Mid Coast Dr
Belfast, ME 04915
Phone (207) 338-2295

116 Northport Ave
Ste 2
Belfast, ME 04915
Phone (207) 338-0990

16 Fahy St
Ste 2011
Belfast, ME 04915

16 Fahy St
Ste 208
Belfast, ME 04915
Phone (207) 338-1728

9 Healthcare Dr
Ste 202
Biddeford, ME 04005
Phone (207) 283-1427

2 Medical Center Dr
Ste 3
Biddeford, ME 04005
Phone (207) 283-8406

9 Healthcare Dr
Ste 209
Biddeford, ME 04005
Phone (207) 283-6408

24 W Cole Rd
Ste 101
Biddeford, ME 04005

46 Barra Rd
Ste 103
Biddeford, ME 04005
Phone (207) 283-1126

9 Healthcare Dr
Ste 101
Biddeford, ME 04005
Phone (207) 282-4270

4 Shape Dr
Kennebunk, ME 04043
Phone (207) 467-8988

199 Main St
Norway, ME 04268
Phone (207) 743-2945

8 Pikes Hl
Norway, ME 04268
Phone (207) 743-9292

818 Congress St
Ste 108
Portland, ME 04102

272 Congress St
Fl 3
Portland, ME 04101

930 Congress St
Portland, ME 04102
Phone (207) 662-1535

22 Bramhall St
Rm 4670
Portland, ME 04102
Phone (207) 662-3500

22 Bramhall St
Ste 2
Portland, ME 04102

12 Andover Rd
Portland, ME 04102
Phone (207) 661-6064

22 Bramhall St
Ste B
Portland, ME 04102

Practitioners & affiliated clinicians

Practitioners 334

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 334

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1629761978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360489",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516489",
            "telephone_number": "207-887-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FREE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013908",
            "telephone_number": "207-661-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINEHEALTH",
        "enumeration_date": "2023-06-01",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "207-662-2272"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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": [
        {
            "organization_name": "MaineHealth Medical Group-Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaineHealth Medical Group-Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.