Active NPI
Katherine Reilly, D.O.
- Family Medicine Physician
- Rockport, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO2734
- Practice address
- 7 Madelyn LN Ste 200
Rockport, ME 04856-4460 - Phone
- (207) 921-5900
- Fax
- (207) 921-5358
- NPI assigned
- May 21, 2014
- 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 | DO2734 | ME | Primary |
Addresses
Primary practice location
7 Madelyn LN Ste 200
Rockport, ME 04856-4460
Mailing address
7 Madelyn LN Ste 200
Rockport, ME 04856-4460
Phone (207) 921-5900
Other practice location 1
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Anchor Dr
Rockport, ME 04856-3848
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Home Health and Hospice
- Amedisys Home Health
- Mainehealth Pen Bay Hospital
- Mainehealth Waldo Hospital
- Lincolnhealth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Penobscot Bay Physicians & Associates | Current | Accepting new patients | |
| Mainehealth | Family Medicine | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400
4 Glen Cove Dr
Ste 5
Rockport, ME 04856
Phone (207) 592-5883
15 Anchor Dr
Ste 201
Rockport, ME 04856
Phone (207) 301-5800
Interoperability endpoints
- kreilly179072@direct.mmc.mainehealth.org
Organizations & group practices 5
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.
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Pediatrics Physician
- Falmouth, ME
- NPI 1629382601
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Portland, ME
- NPI 1366617680
-
- Home Health Agency
- Saco, ME
- NPI 1275510844
-
- Community Based Hospice Care Agency
- Rockport, ME
- NPI 1376514224
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306258678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MADELYN LN STE 200",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048564460",
"telephone_number": "207-921-5900",
"fax_number": "207-921-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MADELYN LN STE 200",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048564460",
"telephone_number": "207-921-5900",
"fax_number": "207-921-5358"
}
],
"practiceLocations": [
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-662-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REILLY",
"first_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "DO2734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.