Individual provider Active NPI

Rachel Elise Pferdehirt, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Portland, ME
National Provider Identifier
1073046827
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD30653 Issued in ME
Practice address
1685 Congress St Ste 301
Portland, ME 04102-2172
Phone
(207) 213-1867
NPI assigned
Apr 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD30653 ME Primary

Addresses

Primary practice location

1685 Congress St Ste 301
Portland, ME 04102-2172

Mailing address

1685 Congress St Ste 301
Portland, ME 04102-2172
Phone (207) 775-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231106003140 CA Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - Plastic and Reconstructive Surgery 4789031253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1073046827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 CONGRESS ST STE 301",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022172",
            "telephone_number": "207-775-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 CONGRESS ST STE 301",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022172",
            "telephone_number": "207-213-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFERDEHIRT",
        "first_name": "RACHEL",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-08",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "ME",
            "license": "MD30653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.