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

Todd M. Michaelis, MD

Individual provider Family Medicine Physician · NPI 1649565672

Todd M. Michaelis, MD is a Family Practice in South Portland, Maine. Qualified in 2011, 15 years ago. Practices with Intermed PA, a 185-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
15
Licensed in
ME
In the registry since
2011
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

100 Foden Rd E Ste 203
South Portland, ME 04106
Phone: (207) 874-1489
Fax: (207) 523-8590
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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 MD20112 (ME)

Record details

NPI number1649565672
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2011
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Intermed Pa — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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