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

Lievin Umba Phukuta

Individual provider Family Medicine Physician · NPI 1346864279

Lievin Umba Phukuta is a Physician Assistant in Portland, Maine. Qualified in 2020, 6 years ago. Practices with Mercy Inpatient Medical Associates Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
6
Licensed in
ME
In the registry since
2020
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Practice location Address checks out

716 Stevens Ave
Portland, ME 04103-2656
Phone: (207) 283-0171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence EC261087 (ME)

Record details

NPI number1346864279
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 6, 2020
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address22 Bramhall St, Portland, ME 04102-3134

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mercy Inpatient Medical Associates Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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