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
- 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
25A June St Ste 11
Sanford, ME 04073-2642
Phone (207) 490-7900
Other practice location 2
10 Goodall Dr Ste 900
East Waterboro, ME 04030-5233
Phone (207) 490-7505
Other practice location 3
2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-6900
Other practice location 4
655 Main St
Saco, ME 04072-1699
Phone (207) 294-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03417874 | Medicaid | NY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170117000883 | ME | Practitioner - Physician Assistant | 9931133287 | Reassigns benefits to 2 organizations |
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
- Mainehealth
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
- Mainehealth Maine Medical Center
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
Practice roles
| Organization | Specialty | Status | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Skilled Nursing Facility
- Sanford, ME
- NPI 1447342209
-
- Family Medicine Physician
- Wiscasset, ME
- NPI 1750861530
-
- 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.
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": "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"
},
{
"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"
}
],
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03417874",
"state": "NY"
}
],
"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.