DR. JOHN P COLIANNI (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1336264316

DR. JOHN P COLIANNI (M.D.) is a healthcare provider. based in Portland, Maine. specializing in SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. EC-08-1072 (ME). The NPI Number for DR. JOHN P COLIANNI (M.D.) is 1336264316

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN P COLIANNI (M.D.)
NPI
1336264316
Phone
(207) 791-3888
Address
PO BOX 9746
Enumeration Date
20 March 2007
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2075233700
Graduation Year
2005 (21 years ago)
PAC ID
5597818575
Group Practice PAC ID
5092605261
Professional Enrollment ID
I20130509000128
Address ID
ME041061718SO50XXXRDXX302

Contacts

Secure Messaging
john.colianni.1@5857.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness95
Years active:19State licenses:3Other names

49 SPORTS MEDICINE in ME

Provider Addresses for DR. JOHN P COLIANNI (M.D.)

  • PO BOX 9746

    PORTLAND, ME 041045040

    Phone: (207) 791-3888

    Fax: (207) 828-7850

    Type: Mailing

  • 331 VERANDA ST

    PORTLAND, ME 041035545

    Phone: (207) 828-2402

    Fax: (207) 828-2425

    Type: Location

  • 259 Main St

    Yarmouth, ME 040966723

    Phone: (208) 846-9013

    Type: Location

  • 50 FODEN RD

    SOUTH PORTLAND, ME 041061718

    Phone: (207) 523-8500

    Type: Location

  • 100 GANNETT DR STE C

    SOUTH PORTLAND, ME 041065900

    Phone: (207) 347-2947

    Fax: (207) 874-2317

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2013-05-09

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
I20130509000128ISports 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes17379$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance17061$0
J1040Injection, methylprednisolone acetate, 80 mg8347$0
99204New patient office or other outpatient visit, 45-59 minutes4343$0
J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dose4218$0
View full utilization report →

Insurance plans in this area (ZIP 04104)

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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: 5092605261View full group profile
NameSpecialtyState
-ME
P S Y C H I A T R YME
Physical Therapist In Private PracticeME
Family Practice, Sports MedicineME
Family PracticeME
Nurse PractitionerME
Family PracticeME
-ME
-ME
Internal MedicineME

Reviews

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Frequently asked questions

Is DR. JOHN P COLIANNI (M.D.) listed with a National Provider Identifier?
Yes — DR. JOHN P COLIANNI (M.D.) has NPI 1336264316 on file in the registry.
Is DR. JOHN P COLIANNI (M.D.) still an active registrant?
DR. JOHN P COLIANNI (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. JOHN P COLIANNI (M.D.)?
DR. JOHN P COLIANNI (M.D.) is associated with Sports Medicine (Family Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Maine is DR. JOHN P COLIANNI (M.D.) registered?
Use Portland, Maine as the headline location for DR. JOHN P COLIANNI (M.D.) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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