NPIMap

Individual provider Active NPI

Drew S. Reilly

  • Certified Registered Nurse Anesthetist
  • Portland, ME
National Provider Identifier
1558577635
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA223048 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3175
Phone
(207) 662-2526
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007198 CT
Certified Registered Nurse Anesthetist 367500000X PENDING CT
Certified Registered Nurse Anesthetist 367500000X RNA223048 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3175

Mailing address

29 Mary LN
Cumberland Foreside, ME 04110-1442
Phone (203) 913-3715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110401000384 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305020199 Reassigns benefits to 4 organizations
I20220916001063 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305020199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 706-3280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGCTMDGeneral Practice Dentistry
4557CTMDPharmacist
007198CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Feb 13, 2023 Accepting new patients
Yale University CurrentSince Mar 3, 2014 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Yale University CurrentSince Mar 3, 2014 Accepting new patients
Maine Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince May 2, 2024 Accepting new patients
Yale University Current Accepting new patients
Wilton Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 24, 2017 Accepting new patients
Woodland Anesthesia Associates PC CurrentSince Mar 13, 2011 Accepting new patients
Mainehealth CurrentSince Feb 13, 2023 Accepting new patients
Mainehealth Current Accepting new patients

Locations

4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969

701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

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

53 Sewall St
Portland, ME 04102
Phone (207) 350-5019

405 Western Ave
South Portland, ME 04106
Phone (207) 272-0707

400 10th St E
Waconia, MN 55387

Organizations & group practices 10

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1558577635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MARY LN",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101442",
            "telephone_number": "203-913-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023175",
            "telephone_number": "207-662-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "DREW",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007198",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA223048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.