DR. IVAN D CARDONA (MD) – Allergy & Immunology Physician, NPI 1215038088

DR. IVAN D CARDONA (MD) is a healthcare provider. based in Portland, Maine. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. 017151 (ME). The NPI Number for DR. IVAN D CARDONA (MD) is 1215038088

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. IVAN D CARDONA (MD)
NPI
1215038088
Phone
(207) 774-9839
Address
195 FORE RIVER PKWY
Enumeration Date
26 September 2006
Last Update Date
13 January 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
2077749839
Graduation Year
2000 (26 years ago)
PAC ID
0244210185
Group Practice PAC ID
2567489016
Professional Enrollment ID
I20070322000328
Address ID
ME042405805LE33XXXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9 ALLERGY/IMMUNOLOGY in ME

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Provider Addresses for DR. IVAN D CARDONA (MD)

  • 195, Fore River Parkway, Libbytown, Portland, Cumberland County, Maine, 04102, United States

    SUITE 410

    PORTLAND, ME 04102

    Phone: (207) 774-9839

    Fax: (207) 761-2127

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $2,393.

Total Amount is formed as General ($2,393) + Research ($0) + Ownership ($0) = $2,393.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GENZYME CORPORATION ($469).

Total Amount

$2,393

General + Research + Ownership

Payments

88

Total payment records

General Amount

$2,393

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070322000328IAllergy/ImmunologyMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract1,06824$0
95044Test for allergy using skin patch80412$0
95024Test for allergy using allergenic extract injected into skin30920$0
95117Professional service for multiple injections of allergen12342$0
99214Established patient office or other outpatient visit, 30-39 minutes3528$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567489016View full group profile
NameSpecialtyState
Nurse PractitionerME
Internal Medicine, Allergy/ImmunologyOH
Nurse PractitionerME
-ME
Nurse PractitionerME
Physician AssistantME
Allergy/Immunology, Internal Medicine, Pediatric MedicineME
Allergy/Immunology, Internal MedicineME

Reviews

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Frequently asked questions

What unique ID ties claims to DR. IVAN D CARDONA (MD)?
NPI 1215038088 is assigned to DR. IVAN D CARDONA (MD) under the national enumeration system.
Is DR. IVAN D CARDONA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. IVAN D CARDONA (MD) list a primary specialty?
If you are matching referrals, note Allergy & Immunology Physician for DR. IVAN D CARDONA (MD). Clinical services aligned with this taxonomy classification.
Does DR. IVAN D CARDONA (MD) practice in Maine?
You will see Portland, Maine on file for DR. IVAN D CARDONA (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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