Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Luke Pontolillo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790170926

Dr. John Luke Pontolillo, MD is a Diagnostic Radiology in Bangor, Maine. Qualified in 2015, 11 years ago. Practices with Spectrum Healthcare Partners PA, a 298-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
11
Licensed in
ME
In the registry since
2015
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

489 State St
Bangor, ME 04401-6616
Phone: (207) 793-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 347-2121

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD24522 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790170926
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2015
Last updated in NPPESMay 7, 2021
Certification dateApril 30, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Spectrum Healthcare Partners Pa — 298 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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