Active NPI
Guy Kositratna, M.D.
- Anesthesiology Physician
- Bangor, ME
National Provider Identifier
1487017786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C206960
- Practice address
- 360 Broadway
Bangor, ME 04401-3979 - Phone
- (207) 907-1430
- Fax
- (207) 907-3508
- NPI assigned
- Apr 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 22872 | FL | |
| Anesthesiology Physician | 207L00000X | MD24010 | ME | |
| Anesthesiology Physician | 207L00000X | C206960 | CA | Primary |
Addresses
Primary practice location
360 Broadway
Bangor, ME 04401-3979
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071
Other practice location 1
445 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 569-7408
Other practice location 2
653 West 8th Street
Jacksonville, FL 32209-6511
Phone (904) 244-3903
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gkositratna1514142@direct-prd.goodhelpconnections.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sutter Valley Medical Foundation
Practice addresses (Care Compare)
360 Broadway
L
Bangor, ME 04401-3979
Phone (207) 907-1000
815 Court St
Jackson, CA 95642-2154
Hospital & facility affiliations
- St Joseph Hospital
- Sutter Tracy Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22872 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital | Current | Accepting new patients |
Locations
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
Interoperability endpoints
- gkositratna1152804@direct.bsmhealth.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
- Ambulatory Surgical Clinic/Center
- Modesto, CA
- NPI 1346615150
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1457593980
-
- Ambulatory Surgical Clinic/Center
- Stockton, CA
- NPI 1467825844
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Ambulatory Surgical Clinic/Center
- Elk Grove, CA
- NPI 1972877264
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1821442864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1487017786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "800-470-0071",
"fax_number": "916-854-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 BROADWAY",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013979",
"telephone_number": "207-907-1430",
"fax_number": "207-907-3508"
}
],
"practiceLocations": [
{
"address_1": "445 W Eaton Ave",
"address_purpose": "LOCATION",
"city": "Tracy",
"state": "CA",
"postal_code": "953763420",
"country_code": "US",
"telephone_number": "209-569-7408",
"fax_number": "209-491-7587",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "653 West 8th Street",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322096511",
"country_code": "US",
"telephone_number": "904-244-3903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOSITRATNA",
"first_name": "GUY",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-04",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "22872",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ME",
"license": "MD24010",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "C206960",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gkositratna1514142@direct-prd.goodhelpconnections.org",
"affiliation": "N",
"address_1": "360 Broadway",
"city": "Bangor",
"state": "ME",
"country_code": "US",
"postal_code": "044013979",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.