Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avery Thomas Pellnat, MD

Individual provider Internal Medicine Physician · NPI 1548963556

Avery Thomas Pellnat, MD is an Internal Medicine in Portland, Maine. Graduated from State University of Ny Upstate Medical University in 2023, 3 years ago. Works from 3 locations. Licensed in Maine.

Years since qualifying
3
Trained at
State University of Ny Upstate Medical University
Licensed in
ME
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-4618
Fax: (207) 662-6254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Medical Center Dr, Biddeford, ME 04005-9422 — (207) 283-7937
  • 25 June St, Sanford, ME 04073-2621 — (207) 324-4310

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD30340 (ME)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD30340 (ME)

Record details

NPI number1548963556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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