NPIMap

Individual provider Active NPI

Malcolm Creighton-Smith, MD

  • Dermatology Physician
  • Portland, ME
National Provider Identifier
1881041556
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD24924 Issued in ME
Practice address
1601 Congress St
Portland, ME 04102-2102
Phone
(207) 661-0100
Fax
(207) 661-8866
NPI assigned
May 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1881041556 CT
Dermatology Physician 207N00000X MD24924 ME Primary

Addresses

Primary practice location

1601 Congress St
Portland, ME 04102-2102

Mailing address

1601 Congress St
Portland, ME 04102-2102
Phone (207) 661-0100

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2911

Other practice location 2

2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-8800

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
I20220131000126 ME Practitioner - Dermatology 3274820048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1601 Congress St
Suite 1
Portland, ME 04102-2102
Phone (207) 661-0100

2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-8988

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions250
Removal or shaving of skin growth1-10
Skin biopsy93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1881041556CTMDDermatology Physician
MD24924MEMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Aug 2, 2022 Accepting new patients
Mainehealth CurrentSince Dec 27, 2021 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners Dermatology CurrentSince Dec 27, 2021 Accepting new patients
Mainehealth CurrentSince Dec 27, 2021 Accepting new patients
Mainehealth Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

2 Livewell Dr
Kennebunk, ME 04043
Phone (207) 467-6900

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

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

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: mcreightonsmith35710@direct.mmc.mainehealth.org
  • Direct secure messaging: mcreightonsmith11334@direct.med.uchc.edu

Organizations & group practices 8

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1881041556",
    "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": "207-661-0100",
            "fax_number": "207-661-8866"
        },
        {
            "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": "207-661-0100",
            "fax_number": "207-661-8866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-2911",
            "fax_number": "207-662-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Livewell Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436762",
            "country_code": "US",
            "telephone_number": "207-467-8800",
            "fax_number": "207-467-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREIGHTON-SMITH",
        "first_name": "MALCOLM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "1881041556",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "MD24924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.