Individual provider Active NPI

Natan D Kahn, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Portland, ME
National Provider Identifier
1568468635
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
MD15011 Issued in ME
Practice address
15 Lowell St
Portland, ME 04102-2748
Phone
(207) 774-8277
Fax
(207) 699-5850
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 015011 ME
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD15011 ME Primary

Addresses

Primary practice location

15 Lowell St
Portland, ME 04102-2748

Mailing address

15 Lowell St
Portland, ME 04102-2748
Phone (207) 774-8277

Other practice location 1

161 Marginal Way
Portland, ME 04101-2438
Phone (207) 774-8277

Other identifiers 1

IdentifierTypeStateIssuer
329640099MedicaidME

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
I20050803000725 ME Practitioner - Ophthalmology 4385672906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Medical GroupGroup PAC ID 7517995129, 9 clinicians

Practice addresses (Care Compare)

53 Sewall St
Portland, ME 04102-2625
Phone (207) 828-2020

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015011MEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Eye Center, PA Current Accepting new patients
Eyecare Medical Group Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients

Locations

161 Marginal Way
Portland, ME 04101
Phone (207) 773-7964

15 Lowell St
Portland, ME 04102
Phone (207) 774-8277

1685 Congress St
Ste 202
Portland, ME 04102
Phone (207) 828-2020

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

Interoperability endpoints

  • Direct secure messaging: nkahn@eyecaremed.intellechartdirect.net

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 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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1568468635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LOWELL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022748",
            "telephone_number": "207-774-8277",
            "fax_number": "207-699-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LOWELL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022748",
            "telephone_number": "207-774-8277",
            "fax_number": "207-699-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Marginal Way",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012438",
            "country_code": "US",
            "telephone_number": "207-774-8277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHN",
        "first_name": "NATAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "015011",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "ME",
            "license": "MD15011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329640099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.