Peter G Kachavos, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD23660 Issued in ME

Practice address

46 Barra Rd
Biddeford, ME 04005-9459

Phone

(207) 282-3349

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH, MA, ME, VT4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkachavos@landmarkhealth-direct.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Current Care PA

  • Urgent Care Clinic/Center
  • South Portland, ME
  • NPI 1053680876
  Medicare reassignment NPD
• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• American Current Care of Massachusetts PC

  • Urgent Care Clinic/Center
  • Wilmington, MA
  • NPI 1164692844
  Medicare reassignment NPD
• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1568646487

  VT

  Medicare reassignment NPD
• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1740464668

  NH

  Medicare reassignment
• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Multi-Specialty Clinic/Center
  • Biddeford, ME
  • NPI 1215417019
  NPD
• American Current Care of Massachusetts PC

  • Urgent Care Clinic/Center
  • Springfield, MA
  • NPI 1174793855
  NPD
• American Current Care, P.a.

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1336327600
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1003866633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ELLIOT WAY",
            "address_2": "SUITE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033551",
            "telephone_number": "603-626-5900",
            "fax_number": "603-625-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BARRA RD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059459",
            "telephone_number": "207-282-3349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Elliot Way",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033551",
            "country_code": "US",
            "telephone_number": "603-626-5900",
            "fax_number": "603-625-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACHAVOS",
        "first_name": "PETER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "8057",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD23660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NH",
            "identifier": "0102689YPNH01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph R. Kenneally, DMD, PA
• Patricia C Joyce, LCSW
• Andrew Benjamin Joyner
• Lynn Jurczak, RDH
• Brigitte Kablitz, LMSW-CONDITIONAL
• Jacob Bernard Kahane, MD
• Carrie Kahl, LMSW-CC
• Richard Martin Kahn, M.D.
• Julia Kahr, PMHNP
• Rita K Kamra, MD

• Internal Medicine Physician in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.