DR. JOHN LUKE PONTOLILLO M.D. NPI 1790170926

NPI Information

  • NPI: 1790170926
  • Provider Name: DR. JOHN LUKE PONTOLILLO, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 489 STATE ST
    BANGOR, ME
    ZIP 04401
  • Phone: (207) 793-7000

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NPI Details

DR. John Luke Pontolillo, M.D. is a diagnostic radiology radiology in Bangor, ME with 11 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. John Luke Pontolillo, M.D. NPI is 1790170926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

489 STATE ST
BANGOR, ME
ZIP 04401-616
Phone: (207) 793-7000

The NPI 1790170926 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Screening mammography (HCPCS:77067)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of heart structure with contrast (HCPCS:75572)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Replacement of kidney drainage tube using imaging guidance with review by radiologist (HCPCS:50435)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Screening mammography (HCPCS:77067)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Needle biopsy of liver through skin (HCPCS:47000)

The enumeration date for this NPI number is 4/3/2015 and was last updated on 5/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22085R0202XRadiologyDiagnostic RadiologyMD24522MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11790170926MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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