Active NPI
Jeffrey L Grassmann, D.O.
- Family Medicine Physician
- South Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2147
- Practice address
- 100 Foden Rd, East
Suite 203
South Portland, ME 04106-2327 - Phone
- (207) 874-1489
- Fax
- (207) 523-8590
- NPI assigned
- Jul 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2147 | ME | Primary |
Addresses
Primary practice location
100 Foden Rd, East
Suite 203
South Portland, ME 04106-2327
Mailing address
100 Gannett Dr Ste C
South Portland, ME 04106-5900
Phone (207) 828-0361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750580486 | Medicaid | ME |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Foden Rd
South Portland, ME 04106-2327
Phone (207) 874-1489
Hospital & facility affiliations
- Mainehealth Maine Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2147 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Intermed, PA | Family Medicine | Current | Accepting new patients |
| Martin'S Point Health Care, Inc. | Family Medicine | Current | Accepting new patients |
| Intermed, PA | Current | Accepting new patients | |
| Mainehealth | Family Medicine | Current | Accepting new patients |
Locations
6 Farley Rd
Mere Point, ME 04011
Phone (207) 725-8079
272 Congress St
Portland, ME 04101
Phone (207) 874-2466
331 Veranda St
Portland, ME 04103
Phone (207) 774-5801
100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649
100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122
100 Foden Rd
Ste W-100
South Portland, ME 04106
Phone (207) 523-3900
100 Foden Rd
Ste 203
South Portland, ME 04106
Phone (207) 874-1489
100 Foden Rd
Ste 100
South Portland, ME 04106
Phone (207) 874-1489
Interoperability endpoints
- https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
- jeffrey.grassman@int.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Portland, ME
- NPI 1639194509
-
- Family Medicine Physician
- Portland, ME
- NPI 1366474611
-
- Pediatrics Physician
- South Portland, ME
- NPI 1295607836
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1750580486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GANNETT DR STE C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065900",
"telephone_number": "207-828-0361",
"fax_number": "207-874-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FODEN RD, EAST",
"address_2": "SUITE 203",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062327",
"telephone_number": "207-874-1489",
"fax_number": "207-523-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASSMANN",
"first_name": "JEFFREY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "2147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750580486",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.