Active NPI
Sean T Hanley, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Portland, ME
National Provider Identifier
1811985575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 011833
- Practice address
- 1601 Congress St
Portland, ME 04102-2102 - Phone
- (207) 774-5113
- Fax
- (207) 874-0320
- NPI assigned
- Oct 7, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 011833 | ME | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 011833 | ME | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 011833 | ME | Primary |
Addresses
Primary practice location
1601 Congress St
Portland, ME 04102-2102
Mailing address
1601 Congress St
Portland, ME 04102-2102
Phone (207) 774-5113
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0064411 | Other | ME | AETNA |
| CIGNA | Other | ME | M6540 |
| 018189 | Other | ME | ANTHEM |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050713000085 | ME | Practitioner - Orthopedic Surgery | 8921066028 |
Care Compare profile
Medicare Care CompareMerit-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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011833 | ME | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Interoperability endpoints
- shanley36449@direct.mmc.mainehealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811985575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CONGRESS ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022102",
"telephone_number": "207-774-5113",
"fax_number": "207-874-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CONGRESS ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022102",
"telephone_number": "207-774-5113",
"fax_number": "207-874-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLEY",
"first_name": "SEAN",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ME",
"license": "011833",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "ME",
"license": "011833",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "ME",
"license": "011833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0064411",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M6540",
"identifier": "CIGNA",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "018189",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.