Active NPI
Sirish Maddali, MD
- Plastic and Reconstructive Surgery Physician
- Westbrook, ME
National Provider Identifier
1790825487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD18580
- Practice address
- 11 Rock Row Ste 210
Westbrook, ME 04092-4877 - Phone
- (207) 775-3446
- Fax
- (207) 879-1646
- NPI assigned
- Feb 8, 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD18580 | ME | Primary |
Addresses
Primary practice location
11 Rock Row Ste 210
Westbrook, ME 04092-4877
Mailing address
11 Rock Row Ste 210
Westbrook, ME 04092-4877
Phone (207) 775-3446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30209881 | Medicaid | NH |
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
- Plastic and Reconstructive Surgery
- Education
- JS Weill Medical College, Cornell University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Rock Row
Suite 210
Westbrook, ME 04092-4877
Phone (207) 775-3446
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 20 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic & Hand Surgical Associates | Plastic Surgery | Current | Accepting new patients |
| Plastic & Hand Surgical Associates | Plastic Surgery | Past | Accepting new patients |
| Chia Jen Chung, MD, Inc. | Plastic Surgery | Past | Accepting new patients |
Locations
84 Campus Dr
Scarborough, ME 04074
Phone (207) 396-7000
244 Western Ave
South Portland, ME 04106
Phone (207) 775-3446
11 Rock Row
Ste 210
Westbrook, ME 04092
Phone (207) 775-3446
Organizations & group practices 3
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.
-
- Plastic Surgery Physician
- Westbrook, ME
- NPI 1679687594
-
- Ambulatory Surgical Clinic/Center
- Westbrook, ME
- NPI 1366453730
Plastic Surgery
-
- Plastic Surgery Physician
- San Francisco, CA
- NPI 1164729927
Hospital & facility affiliations 38
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": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1790825487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ROCK ROW STE 210",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040924877",
"telephone_number": "207-775-3446",
"fax_number": "207-879-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ROCK ROW STE 210",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040924877",
"telephone_number": "207-775-3446",
"fax_number": "207-879-1646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDALI",
"first_name": "SIRISH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "ME",
"license": "MD18580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30209881",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westbrook, ME
- Heather Lynn Luongo, OT
- Lupine Counseling Services, LLC
- Christina Laurel Lutz, MSW, LMSW-CC, LADC
- Marissa Lillian Lynch, MS, LD, RD
- Shawn Macdonald
- Magellan Health Services
- Amanda Elizabeth Magnoli, ANP-BC
- Main Street Dental
- Maine Center for Cancer Medicine
- Maine Center for Cancer Medicine & Blood Disorders, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.