Individual provider Active NPI

Frederick Craig Littlejohn, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Portland, ME
National Provider Identifier
1053581058
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
EL111002 Issued in ME
Practice address
1945 Congress St Ste 103
Portland, ME 04102-1967
Phone
(207) 835-8116
NPI assigned
Mar 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 240775 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X EL111002 ME Primary

Addresses

Primary practice location

1945 Congress St Ste 103
Portland, ME 04102-1967

Mailing address

25 Chestnut LN
Yarmouth, ME 04096-8442
Phone (207) 835-8116

Other practice location 1

1365 Broadway
Bangor, ME 04401-2401
Phone (207) 992-6226

Other names 1

  • F Craig Littlejohn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110307000437 ME Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 0042357204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
R Franklin University of Med & Sci/Chicago Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1945 Congress St
Suite 103
Portland, ME 04102-1967
Phone (207) 835-8116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
240775NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Pain Solutions LLC CurrentSince May 27, 2021 Accepting new patients
Northeast Pain Management, PC Pain Medicine CurrentSince Jan 31, 2011 Accepting new patients
Newbridge Spine and Pain Center LLC Past Accepting new patients

Locations

1365 Broadway
Bangor, ME 04401
Phone (207) 942-2233

1945 Congress St
Ste 103
Portland, ME 04102
Phone (207) 835-8116

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23721/brand/1/csg/1/fhir/r4
  • Direct secure messaging: frederick.littlejohn.1@23721.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1053581058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHESTNUT LN",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040968442",
            "telephone_number": "207-835-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 CONGRESS ST STE 103",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021967",
            "telephone_number": "207-835-8116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044012401",
            "country_code": "US",
            "telephone_number": "207-992-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLEJOHN",
        "first_name": "FREDERICK",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "240775",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ME",
            "license": "EL111002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "F",
            "last_name": "LITTLEJOHN",
            "middle_name": "CRAIG",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.