NPIMap

Individual provider Active NPI

Elizabeth Anne Mohan, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
National Provider Identifier
1952622151
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD27280 Issued in ME
Practice address
84 Marginal Way Ste 800
Portland, ME 04101-2475
Phone
(207) 774-5816
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD27280 ME Primary

Addresses

Primary practice location

84 Marginal Way Ste 800
Portland, ME 04101-2475

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900
Phone (207) 347-2947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140506001336 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 7618100298 Reassigns benefits to 2 organizations
I20240103004462 ME Practitioner - Geriatric Medicine 7618100298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermed PAGroup PAC ID 5092605261, 185 clinicians

Practice addresses (Care Compare)

100 Foden Rd
South Portland, ME 04106-2327
Phone (207) 874-1489

100 Foden Rd W
Suite 100
South Portland, ME 04106-2327
Phone (207) 523-3900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27280MEMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Apr 19, 2014 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Intermed, PA CurrentSince Jan 8, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 1, 2020 Accepting new patients
Upmc Community Medcine Inc CurrentSince Apr 19, 2014 Accepting new patients
Intermed, PA CurrentSince Jan 8, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

84 Marginal Way
Ste 800
Portland, ME 04101
Phone (207) 774-5816

100 Foden Rd
Ste 100
South Portland, ME 04106
Phone (207) 874-1489

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

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

200 Delafield Rd
Ste 2030
Pittsburgh, PA 15215
Phone (412) 782-2101

3937 Butler St
Ste 105
Pittsburgh, PA 15201

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869

200 Delafield Rd
Ste 3010
Pittsburgh, PA 15215
Phone (412) 781-1832

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

100 Delafield Rd
Ste 105
Pittsburgh, PA 15215
Phone (412) 784-5050

3937 Butler St
Pittsburgh, PA 15201
Phone (412) 621-8235

Interoperability endpoints

  • Direct secure messaging: elizabeth.mohan@int.eclinicaldirectplus.com

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 51

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

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1952622151",
    "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": "207-347-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MARGINAL WAY STE 800",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012475",
            "telephone_number": "207-774-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "MD27280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.