Organization Active NPI

Nephrology Associates of Central Maine

  • Specialist
  • Lewiston, ME
National Provider Identifier
1528085586
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEPHROLOGY ASSOCIATES OF CENTRAL MAINE
Practice address
710 Main St
Lewiston, ME 04240-5801
Phone
(207) 783-1449
Fax
(207) 777-3865
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Mr. Douglas L. Kilgore
Title
Practice Administrator
Phone
(207) 783-1449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME Primary

Addresses

Primary practice location

710 Main St
Lewiston, ME 04240-5801

Mailing address

710 Main St
Lewiston, ME 04240-5801
Phone (207) 783-1449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050520000629 ME Part B Supplier - Clinic/Group Practice 1850332743 Receives reassigned benefits from 10 practitioners
Practice locations: Lewiston, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0713651Nephrology Associates of Central Maine710 Main Street, Lewiston, ME 04240Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

710 Main St
Lewiston, ME 04240
Phone (207) 783-1449

77 Bates St
Ste 5
Lewiston, ME 04240
Phone (207) 783-1449

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1528085586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405801",
            "telephone_number": "207-783-1449",
            "fax_number": "207-777-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405801",
            "telephone_number": "207-783-1449",
            "fax_number": "207-777-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF CENTRAL MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "207-783-1449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.