Individual provider Active NPI

Christina E Killoran, MD

  • Dermatology Physician
  • South Portland, ME
National Provider Identifier
1386890614
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
017894 Issued in ME
Practice address
100 Foden Rd, West
Suite 100
South Portland, ME 04106-2327
Phone
(207) 523-3900
Fax
(207) 523-8593
NPI assigned
Aug 18, 2008
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 017894 ME Primary

Addresses

Primary practice location

100 Foden Rd, West
Suite 100
South Portland, ME 04106-2327

Mailing address

100 Gannett Drive
Suite C
South Portland, ME 04106
Phone (207) 347-2947

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
I20081113000729 ME Practitioner - DermatologyPractitioner - Sports Medicine 2769542216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Sports Medicine
Education
Boston University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermed PAGroup PAC ID 5092605261, 185 clinicians

Practice addresses (Care Compare)

100 Foden Rd
South Portland, ME 04106-2327
Phone (207) 874-1489

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions501
Removal or shaving of skin growth1-10
Skin biopsy167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017894MEMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermed, PA Dermatology CurrentSince Sep 2, 2008 Accepting new patients
Intermed, PA Dermatology CurrentSince Sep 2, 2008 Accepting new patients

Locations

100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122

100 Foden Rd
Ste 100
South Portland, ME 04106
Phone (207) 874-1489

100 Foden Rd
Ste W-100
South Portland, ME 04106
Phone (207) 523-3900

100 Foden Rd
Ste W-203
South Portland, ME 04106
Phone (207) 523-3900

100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649

Interoperability endpoints

  • Direct secure messaging: christina.killoran@int.eclinicaldirectplus.com

Organizations & group practices 2

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1386890614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GANNETT DRIVE",
            "address_2": "SUITE C",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-347-2947",
            "fax_number": "207-874-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FODEN RD, WEST",
            "address_2": "SUITE 100",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062327",
            "telephone_number": "207-523-3900",
            "fax_number": "207-523-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLORAN",
        "first_name": "CHRISTINA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "017894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.