Organization Active NPI

Lewis Mehl Madrona MD PHD & Associates

  • Family Medicine Physician
  • Orono, ME
National Provider Identifier
1962228536
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEWIS MEHL MADRONA MD PHD & ASSOCIATES
Practice address
288 Main St
Orono, ME 04473-3433
Phone
(808) 772-1099
Fax
(207) 406-5354
NPI assigned
Nov 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dr. Lewis Mehl-MadronaNPI 1225127905
Title
Owner
Phone
(808) 772-1099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

288 Main St
Orono, ME 04473-3433

Mailing address

288 Main St
Orono, ME 04473-3433
Phone (808) 772-1099

Other names 1

  • MAINE STREET INTEGRATIVE MEDICINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250313000609 ME Part B Supplier - Clinic/Group Practice 1153842638 Receives reassigned benefits from 1 practitioner
Practice locations: Orono, ME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1962228536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 MAIN ST",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733433",
            "telephone_number": "808-772-1099",
            "fax_number": "207-406-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 MAIN ST",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733433",
            "telephone_number": "808-772-1099",
            "fax_number": "207-406-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS MEHL MADRONA MD PHD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-28",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "MEHL-MADRONA",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-772-1099",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAINE STREET INTEGRATIVE MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAINE STREET INTEGRATIVE MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orono, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.