Active NPI
Nena G Ragay-Lundkvist, DO
- Family Medicine Physician
- Portland, ME
National Provider Identifier
1104822709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1753
- Practice address
- 195 Fore River Pkwy
Suite 160
Portland, ME 04102-2780 - Phone
- (207) 553-6700
- Fax
- (207) 553-6730
- NPI assigned
- Jun 28, 2005
- Last updated
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1753 | ME | Primary |
Addresses
Primary practice location
195 Fore River Pkwy
Suite 160
Portland, ME 04102-2780
Mailing address
144 State St
Portland, ME 04101-3776
Phone (207) 879-3000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151214000561 | ME | Order and Referring Only - Family Practice | 9537102942 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1753 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1104822709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 STATE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013776",
"telephone_number": "207-879-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 FORE RIVER PKWY",
"address_2": "SUITE 160",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022780",
"telephone_number": "207-553-6700",
"fax_number": "207-553-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGAY-LUNDKVIST",
"first_name": "NENA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "1753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.