NPIMap

Individual provider Active NPI

John S Pulvino, MD

  • Obstetrics & Gynecology Physician
  • Scarborough, ME
National Provider Identifier
1780614842
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD15248 Issued in ME
Practice address
71 US Route 1 Ste a
Scarborough, ME 04074-7168
Phone
(207) 232-1030
Fax
(207) 885-8499
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD15248 ME Primary

Addresses

Primary practice location

71 US Route 1 Ste a
Scarborough, ME 04074-7168

Mailing address

71 US Route 1 Ste a
Scarborough, ME 04074-7168
Phone (207) 885-8400

Other identifiers 4

IdentifierTypeStateIssuer
220560099MedicaidME
30201840MedicaidNH
MD15248OtherMEANTHEM
1780614842MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615000244 ME Practitioner - Obstetrics/Gynecology 4688658008 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Buffalo School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Women'S HealthcareGroup PAC ID 4385738087, 17 clinicians

Practice addresses (Care Compare)

71 US Route 1
Suite a
Scarborough, ME 04074-7168
Phone (207) 885-8400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 22, 2011 Accepting new patients
Maine Medical Partners Obstetrics & Gynecology CurrentSince Sep 6, 2000 Accepting new patients
Coastal Women'S Healthcare CurrentSince Jun 23, 2024 Accepting new patients
Maine Medical Partners CurrentSince Sep 6, 2000 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jul 22, 2011 Accepting new patients
Maine Medical Partners CurrentSince Apr 10, 2020 Accepting new patients
Benjamin Liess ENT LLC PastSince Feb 1, 2019 Accepting new patients
Camden Dermatology & Mohs Surgery LLC PastSince Jun 29, 2021 Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

48 Gilman St
Portland, ME 04102
Phone (207) 661-4400

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

887 Congress St
Portland, ME 04102
Phone (207) 662-5522

71 US Route 1
Ste A
Scarborough, ME 04074
Phone (207) 885-8400

301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: jpulvino1075@direct.mmc.mainehealth.org
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00039
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICEGBD
  • Direct secure messaging: jpulvino1@coastalwomenshealthcare.gwaydirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1780614842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 US ROUTE 1 STE A",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747168",
            "telephone_number": "207-885-8400",
            "fax_number": "207-885-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 US ROUTE 1 STE A",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747168",
            "telephone_number": "207-232-1030",
            "fax_number": "207-885-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULVINO",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD15248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220560099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201840",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "MD15248",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780614842",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.