EDWARD BLODGETT COOK (DO) – Clinical Biochemical Genetics Physician, NPI 1285168666

EDWARD BLODGETT COOK (DO) is a healthcare provider. based in Portland, Maine. specializing in PEDIATRIC MEDICINE. They hold the professional credentials DO. They hold a License No. DO3776 (ME). The NPI Number for EDWARD BLODGETT COOK (DO) is 1285168666

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD BLODGETT COOK (DO)
NPI
1285168666
Phone
(207) 662-5522
Address
1577 CONGRESS ST STE 2
Enumeration Date
12 April 2017
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078859905
Graduation Year
2017 (9 years ago)
PAC ID
3375965171
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20240807004185
Address ID
ME041023134PO22XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

134 PEDIATRIC MEDICINE in ME

Provider Addresses for EDWARD BLODGETT COOK (DO)

  • 1577 CONGRESS ST STE 2

    PORTLAND, ME 041022169

    Phone: (207) 662-5522

    Type: Location

  • 15 Anchor Dr Ste 103

    Rockport, ME 048563847

    Phone: (207) 301-5600

    Fax: (207) 301-5360

    Type: Location

  • 46 First Park Dr Ste D

    Oakland, ME 049635376

    Phone: (207) 680-2117

    Fax: (207) 680-2119

    Type: Location

  • 4 Shape Dr

    Kennebunk, ME 040436760

    Phone: (207) 662-5143

    Fax: (207) 661-8104

    Type: Location

  • Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States

    DANVILLE, PA 178224903

    Phone: (570) 271-6144

    Fax: (570) 271-6578

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-07

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
I20240807004185IPediatric MedicineMETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04102)

Loading plans...

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: 7517860588View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify EDWARD BLODGETT COOK (DO) for billing?
Administrative and clinical systems typically use NPI 1285168666 for EDWARD BLODGETT COOK (DO).
Should I treat EDWARD BLODGETT COOK (DO) as an active provider?
Patients and plans typically see EDWARD BLODGETT COOK (DO) as active in the national extract.
What type of care does EDWARD BLODGETT COOK (DO) provide?
EDWARD BLODGETT COOK (DO)'s profile centers on Clinical Biochemical Genetics Physician. Clinical services aligned with this taxonomy classification.
Is EDWARD BLODGETT COOK (DO) tied to Portland, Maine?
If you are local to Portland, Maine, EDWARD BLODGETT COOK (DO) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

KIM LEWIS MCBRIDE (MD)

Clinical Genetics (M.D.) Physician
Nationwide Children's Hospital, 700, Children's Drive, Livingston Park, Columbus, Franklin, Ohio, 43205, United States
NPI: 1306838735

DR. MAJED J DASOUKI (MD)

Clinical Genetics (M.D.) Physician
West 144th Street, Leawood, Johnson County, Kansas, 66224, United States
NPI: 1568454981