Individual provider Active NPI

Kinna Thakarar, DO

  • Infectious Disease Physician
  • South Portland, ME
National Provider Identifier
1396905048
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
DO2498 Issued in ME
Practice address
50 Foden Rd, Ste 3
South Portland, ME 04106-1718
Phone
(207) 774-5816
Fax
(207) 523-8594
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X DO2498 ME
Infectious Disease Physician 207RI0200X DO2498 ME Primary

Addresses

Primary practice location

50 Foden Rd, Ste 3
South Portland, ME 04106-1718

Mailing address

100 Gannett Drive
Suite C
South Portland, ME 04106
Phone (207) 523-3649

Other practice location 1

48 Gilman St
Portland, ME 04102-3004
Phone (207) 661-4400

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
I20150817000237 ME Practitioner - Infectious Disease 2860638442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

20 Portland St
Portland, ME 04101-2912
Phone (207) 661-4701

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

41 Donald B Dean Dr
South Portland, ME 04106-3252

48 -52 Gilman St
MMC Outpatient Clinics
Portland, ME 04102-3004
Phone (207) 662-2099

48 Gilman St
Portland, ME 04102-3004
Phone (207) 662-2099

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
60.7
Promoting interoperability
91
Improvement activities
40
Cost
73.8

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jun 14, 2016 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jun 14, 2016 Accepting new patients
Mercy Hospital CurrentSince Sep 8, 2021 Accepting new patients
Mercy Hospital CurrentSince Sep 8, 2021 Accepting new patients
Maine Medical Partners CurrentSince Sep 23, 2019 Accepting new patients
Maine Medical Partners CurrentSince Sep 23, 2019 Accepting new patients
Mainehealth Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

48 Gilman St
Portland, ME 04102
Phone (207) 661-4400

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

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

50 Foden Rd
Ste 3
South Portland, ME 04106
Phone (207) 523-3700

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

41 Donald B Dean Dr
#B
South Portland, ME 04106
Phone (207) 661-7901

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: kthakarar123144@direct.mmc.mainehealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1396905048",
    "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": "207-523-3649",
            "fax_number": "207-874-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FODEN RD, STE 3",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061718",
            "telephone_number": "207-774-5816",
            "fax_number": "207-523-8594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Gilman St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023004",
            "country_code": "US",
            "telephone_number": "207-661-4400",
            "fax_number": "207-810-2363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKARAR",
        "first_name": "KINNA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "ME",
            "license": "DO2498",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "ME",
            "license": "DO2498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.