FORE RIVER UROLOGY LLC
FORE RIVER UROLOGY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003248436, based in South Portland, ME. The organization lists 3 taxonomy classifications, with Urology Physician recorded as primary.
Getting there
Here is what surrounds this office in South Portland, based on OpenStreetMap data collected Sep 13, 2026. Parking is available about 432 ft away. The nearest transit stop is 0.34 mi away, served by MAINE MALL (JC PENNEY). If you arrive early, there is a coffee shop 0.40 mi away.
Getting here and what is nearby
Parking 344 ft ~2 min
Parking 366 ft ~2 min
Parking 432 ft ~2 min
Coffee Port City Nutrition 775 ft ~3 min
333 Clarks Pond Parkway, South Portland 04106
Mo-Fr 08:00-16:00; Sa-Su 10:00-14:00
Restaurant Olive Garden 0.24 mi ~5 min
Restaurant Shaking Crab Cajun Seafood House 0.27 mi ~6 min
Transit Maine Mall Hannaford 0.32 mi ~7 min
Grocery Hannaford 0.32 mi ~7 min
415 Philbrook Avenue, 04106
Mo-Sa 07:00-22:00; Su 07:00-21:00
Restaurant Romano's Macaroni Grill 0.33 mi ~7 min
Transit MAINE MALL (JC PENNEY) 0.34 mi ~7 min
Hotel Hampton Inn Portland - Airport 0.35 mi ~8 min
Coffee Starbucks 0.40 mi ~9 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5799911566
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Maine | O20131127000198 | Part B Supplier - Clinic/group Practice |
| Maine | O20240216001296 | Dme Supplier - Physician - Urology |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Urology covers
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208800000X | Urology Physician | — | — | primary |
| 2088F0040X | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Urogynecology and Reconstructive Pelvic Surgery | — | — | |
| 2088P0231X | Pediatric Urology Physician Pediatric Urology | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003248436 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 8, 2013 |
| Last updated | Jul 16, 2024 |
| Status | Active |
| Practice address |
21 DONALD B DEAN DR SUITE 1 South Portland, ME 04106 (207) 776-2411 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 4 | 8 | 4 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 4 | 7 | 4 | 6 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.