Active NPI
Donald A. Dirisi Jr., PA
- Medical Physician Assistant
- Biddeford, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1662
- Practice address
- 46 Barra Rd Ste 101
Biddeford, ME 04005-9461 - Phone
- (207) 282-5509
- Fax
- (207) 294-3543
- NPI assigned
- Jan 30, 2007
- Last updated
- Jan 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 010518 | NY | |
| Medical Physician Assistant | 363AM0700X | PA1662 | ME | Primary |
| Physician Assistant | 363A00000X | PA1662 | ME |
Addresses
Primary practice location
46 Barra Rd Ste 101
Biddeford, ME 04005-9461
Mailing address
46 Barra Rd Ste 101
Biddeford, ME 04005-9461
Phone (207) 282-5509
Other practice location 1
10 Goodall Dr Ste 900
East Waterboro, ME 04030-5233
Phone (207) 490-7505
Other practice location 2
2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-6900
Other practice location 3
655 Main St
Saco, ME 04072-1699
Phone (207) 294-5600
Other practice location 4
25A June St Ste 11
Sanford, ME 04073-2642
Phone (207) 490-7900
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270
10 Goodall Dr
Suite 900
East Waterboro, ME 04030-5233
Phone (207) 490-7760
2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-8988
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
25 A June St
Sanford, ME 04073-2642
46 Barra Rd
Suite 201202
Biddeford, ME 04005-9459
Phone (207) 282-3349
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1662 | ME | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Naples Urgent Care PL | Past | Accepting new patients |
Locations
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
46 Barra Rd
Ste 101
Biddeford, ME 04005
Phone (207) 282-5509
10 Goodall Dr
Ste 900
East Waterboro, ME 04030
Phone (207) 490-7505
2 Livewell Dr
Kennebunk, ME 04043
Phone (207) 467-6900
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
655 Main St
Saco, ME 04072
Phone (207) 283-1407
25A June St
Ste 11
Sanford, ME 04073
Phone (207) 282-3666
Interoperability endpoints
- ddirisi157805@direct.mmc.mainehealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MaineHealth Pharmacy Maine Medical Center Biddeford
- General Acute Care Hospital
- Biddeford, ME
- NPI 1659392819
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Skilled Nursing Facility
- Sanford, ME
- NPI 1447342209
-
dba Bonita Urgent Care, Estero Urgent Care, Florida Urgent Care
- Emergency Medicine Physician
- Naples, FL
- NPI 1437180114
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MMP Orthopedics ( Div of Orthopedic Trauma & Fracture Care)
- Orthopaedic Trauma Physician
- Portland, ME
- NPI 1003113127
Hospital
-
dba Maine Hemophilia and Thrombosis Center
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
dba Maine Medical Center Infectious Disease
- Infectious Disease Physician
- Portland, ME
- NPI 1073701157
Hospital
-
dba Geriatric Consults
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1164610242
Hospital
-
dba MMC Pediatric Intensive Care Unit
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
Hospital
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
-
dba Maine Medical Partners Endocrinlogy & Diabetes
- Endocrinology, Diabetes & Metabolism Physician
- Scarborough, ME
- NPI 1356651038
Hospital
-
dba MMC Pediatric Urology
- Pediatric Urology Physician
- Portland, ME
- NPI 1457540486
Hospital
-
dba Maine Medical Partners Pediatric Specialty Care
- Gastroenterology Physician
- Portland, ME
- NPI 1477850592
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1720124316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 BARRA RD STE 101",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059461",
"telephone_number": "207-282-5509",
"fax_number": "207-294-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 BARRA RD STE 101",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059461",
"telephone_number": "207-282-5509",
"fax_number": "207-294-3543"
}
],
"practiceLocations": [
{
"address_1": "10 Goodall Dr Ste 900",
"address_purpose": "LOCATION",
"city": "East Waterboro",
"state": "ME",
"postal_code": "040305233",
"country_code": "US",
"telephone_number": "207-490-7505",
"fax_number": "207-490-7529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Livewell Dr",
"address_purpose": "LOCATION",
"city": "Kennebunk",
"state": "ME",
"postal_code": "040436762",
"country_code": "US",
"telephone_number": "207-467-6900",
"fax_number": "207-467-6921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 Main St",
"address_purpose": "LOCATION",
"city": "Saco",
"state": "ME",
"postal_code": "040721699",
"country_code": "US",
"telephone_number": "207-294-5600",
"fax_number": "207-294-3565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25A June St Ste 11",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "ME",
"postal_code": "040732642",
"country_code": "US",
"telephone_number": "207-490-7900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIRISI",
"first_name": "DONALD",
"middle_name": "A.",
"name_suffix": "Jr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "010518",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ME",
"license": "PA1662",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA1662",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.