John Edward Kazilionis, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

917 Issued in ME

Practice address

778 Main St
Suite 1
South Portland, ME 04106-5447

Phone

(207) 775-7758

Fax

(207) 879-7758

NPI assigned

Jul 26, 2006

Last updated

Mar 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of New EnglandGroup PAC ID 4284534868, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Portland, ME, CCN 207073
• Affinity Care of Maine, LLC Hospice, South Portland, ME, CCN 201524
• Gentiva I Hospice, South Portland, ME, CCN 201525

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• University of New England

  dba University Healthcare

  • Family Medicine Physician
  • Biddeford, ME
  • NPI 1699752055
  Medicare reassignment Care Compare group
• Family Health Center of Southern Maine, P.a.

  • Family Medicine Physician
  • South Portland, ME
  • NPI 1477692010
  Authorized official Same address or phone
• University of New England

  dba Community Occupational Therapy Center

  • Occupational Therapist
  • Biddeford, ME
  • NPI 1467439778

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affinity Care of Maine LLC

  • Community Based Hospice Care Agency
  • South Portland, ME
  • NPI 1013641463
  Care Compare affiliation
• Amedisys Maine, P.L.L.C.

  dba Amedisys Home Health

  • Home Health Agency
  • Portland, ME
  • NPI 1366617680
  Care Compare affiliation
• New Century Hospice Delaware LLC

  dba Gentiva I

  • Community Based Hospice Care Agency
  • South Portland, ME
  • NPI 1720601693
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1114941937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 MAIN ST",
            "address_2": "SUITE 1",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065447",
            "telephone_number": "207-775-7758",
            "fax_number": "207-879-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 MAIN ST",
            "address_2": "SUITE 1",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065447",
            "telephone_number": "207-775-7758",
            "fax_number": "207-879-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZILIONIS",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203900099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Kane, DMD
• Kassidy D Kasperski, DC
• Katherine J. Letourneau Agnp LLC
• Brianna Lee Kaulbach, PTA
• Kava Collaborative Health
• Saoirse Keane
• Heather Jean Keast
• Emily Keef, LCPC
• Amanda Kathryn Keene, PA-C
• Eliza Kehew, LCSW

• Family Medicine Physician in South Portland, ME
• Providers in South Portland, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.