Individual provider Active NPI

Tiffani Leigh McDonough, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Scarborough, ME
National Provider Identifier
1972764819
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
27260 Issued in NV
Practice address
92 Campus Dr Ste B
Scarborough, ME 04074-7229
Phone
(207) 885-4362
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X MD25926 ME
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 255224 NY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD25926 ME
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 27260 NV Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 83826 CT

Addresses

Primary practice location

92 Campus Dr Ste B
Scarborough, ME 04074-7229

Mailing address

92 Campus Dr Ste B
Scarborough, ME 04074-7229
Phone (207) 885-4362

Other practice location 1

505 Farmington Ave
Farmington, CT 06032-1901
Phone (833) 733-7669

Other practice location 2

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000

Other identifiers 1

IdentifierTypeStateIssuer
MD25926OtherMEMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL, ME, CT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140814001362 NY Practitioner - Neurology 0143447185
I20181025000844 IL Practitioner - Neurology 0143447185 Reassigns benefits to 1 organization
I20220913000596 ME Practitioner - Neurology 0143447185 Reassigns benefits to 2 organizations
I20260414001172 CT Practitioner - Neurology 0143447185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

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

92 Campus Dr
Scarborough, ME 04074-7229

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25926MEMDEpilepsy Physician
83826CTMDNeurology with Special Qualifications in Child Neurology Physician
27260NVMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 1, 2022 Accepting new patients
Maine Medical Partners CurrentSince Sep 1, 2022 Accepting new patients
Mainehealth CurrentSince Sep 1, 2022 Accepting new patients
Lurie Children'S Medical Group Inc CurrentSince Sep 4, 2018 Accepting new patients
Maine Medical Partners Neurology With Special Qualifications in Child Neurology CurrentSince Sep 1, 2022 Accepting new patients
Maine Medical Partners Current Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

Claims Remittance
Carol Stream, IL 60122

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

737 N Michigan Ave
Ste 2040
Chicago, IL 60611

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

92 Campus Dr
Fl 2
Scarborough, ME 04074
Phone (207) 883-1414

92 Campus Dr
Ste B
Scarborough, ME 04074
Phone (207) 662-5143

49 Spring St
Scarborough, ME 04074
Phone (207) 883-1414

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: tmcdonough180898@direct.covenanthealthcare.com
  • Direct secure messaging: tmcdonough557512@direct.mmc.mainehealth.org

Organizations & group practices 10

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 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1972764819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR STE B",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747229",
            "telephone_number": "207-885-4362",
            "fax_number": "212-342-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR STE B",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747229",
            "telephone_number": "207-885-4362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321901",
            "country_code": "US",
            "telephone_number": "833-733-7669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "282 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-545-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "TIFFANI",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "ME",
            "license": "MD25926",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "255224",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "ME",
            "license": "MD25926",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NV",
            "license": "27260",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CT",
            "license": "83826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD25926",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.