Individual provider Active NPI

Edward John Bilotti, MD

  • Psychiatry Physician
  • South Portland, ME
National Provider Identifier
1740344902
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD19190 Issued in ME
Practice address
16 Atlantic PL
South Portland, ME 04106-2316
Phone
(908) 240-3106
Fax
(207) 747-5129
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD19190 ME Primary

Addresses

Primary practice location

16 Atlantic PL
South Portland, ME 04106-2316

Mailing address

PO Box 2278
South Portland, ME 04116-2278
Phone (908) 240-3106

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000087 ME Practitioner - Psychiatry 2466468756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tufts University School of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Corecover LLCGroup PAC ID 2264771419, 2 clinicians

Practice addresses (Care Compare)

10 Atlantic PL
South Portland, ME 04106-2316
Phone (207) 482-0276

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corecover, LLC Psychiatry CurrentSince Jan 14, 2019 Accepting new patients

Locations

16 Atlantic Pl
South Portland, ME 04106
Phone (908) 240-3106

10 Atlantic Pl
South Portland, ME 04106
Phone (207) 482-0276

Interoperability endpoints

  • Direct secure messaging: edward.bilotti.1@27287.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1740344902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2278",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041162278",
            "telephone_number": "908-240-3106",
            "fax_number": "207-747-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ATLANTIC PL",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062316",
            "telephone_number": "908-240-3106",
            "fax_number": "207-747-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILOTTI",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD19190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.