Individual provider Active NPI

Elisabeth W. Deeran, MD

  • Obstetrics & Gynecology Physician
  • Portland, ME
National Provider Identifier
1992125785
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD23051 Issued in ME
Practice address
84 Marginal Way
Suite 900
Portland, ME 04101
Phone
(207) 874-2445
Fax
(207) 523-8598
NPI assigned
Apr 21, 2014
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
Obstetrics & Gynecology Physician 207V00000X MD23051 ME Primary

Addresses

Primary practice location

84 Marginal Way
Suite 900
Portland, ME 04101

Mailing address

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

Other practice location 1

24 Pennacook St
Manchester, NH 03104-3554
Phone (866) 476-1321

Other practice location 2

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190617002816 ME Practitioner - Obstetrics/Gynecology 9931443264 Reassigns benefits to 4 organizations
I20230320001770 NH Practitioner - Obstetrics/Gynecology 9931443264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tufts University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermed PAGroup PAC ID 5092605261, 185 clinicians

Practice addresses (Care Compare)

84 Marginal Way
Portland, ME 04101-2443
Phone (207) 774-5816

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Maine Medical Partners Obstetrics & Gynecology CurrentSince Oct 20, 2019 Accepting new patients
Intermed, PA CurrentSince Jul 22, 2019 Accepting new patients
Mainehealth CurrentSince Oct 16, 2019 Accepting new patients
Mainehealth CurrentSince Oct 16, 2019 Accepting new patients
Planned Parenthood of Northern New England, Inc Obstetrics & Gynecology CurrentSince Nov 4, 2022 Accepting new patients
Intermed, PA Obstetrics & Gynecology CurrentSince Jul 22, 2019 Accepting new patients
Maine Medical Partners CurrentSince Oct 20, 2019 Accepting new patients
Planned Parenthood of Northern New England PastSince Nov 4, 2022 Accepting new patients

Locations

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

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

84 Marginal Way
Ste 900
Portland, ME 04101
Phone (207) 780-8860

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

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

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

108 High St
Exeter, NH 03833
Phone (603) 772-9315

24 Pennacook St
Manchester, NH 03104
Phone (603) 669-7321

784 Hercules Dr
Ste 110
Colchester, VT 05446
Phone (802) 448-9784

Interoperability endpoints

  • Direct secure messaging: edeeran258317@direct.mmc.mainehealth.org
  • Direct secure messaging: elisabeth.deeran@int.eclinicaldirectplus.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1992125785",
    "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",
            "fax_number": "207-874-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MARGINAL WAY",
            "address_2": "SUITE 900",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04101",
            "telephone_number": "207-874-2445",
            "fax_number": "207-523-8598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Pennacook St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031043554",
            "country_code": "US",
            "telephone_number": "866-476-1321",
            "fax_number": "603-621-0097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEERAN",
        "first_name": "ELISABETH",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD23051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.