Individual provider Active NPI

Kathleen D Polonchek, MD

  • Family Medicine Physician
  • Brunswick, ME
National Provider Identifier
1659784064
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD21696 Issued in ME
Practice address
329 Maine St Ste A200
Brunswick, ME 04011-3310
Phone
(207) 373-4700
Fax
(207) 618-5688
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD21696 ME Primary

Addresses

Primary practice location

329 Maine St Ste A200
Brunswick, ME 04011-3310

Mailing address

329 Maine St Ste A200
Brunswick, ME 04011-3310
Phone (207) 373-4700

Other practice location 1

4 Sheridan Rd
Fairfield, ME 04937-3314
Phone (207) 453-3100

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
I20171018001867 ME Practitioner - Family Practice 6204053473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

442 Civic Ctr Dr
Augusta, ME 04330-8572
Phone (207) 624-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDMD21696MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Sep 1, 2017 Accepting new patients
Mainegeneral Medical Center CurrentSince Sep 1, 2017 Accepting new patients

Locations

15 E Chestnut St
Augusta, ME 04330
Phone (207) 626-1561

442 Civic Center Dr
Augusta, ME 04330
Phone (207) 622-6319

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

4 Sheridan Rd
Fairfield, ME 04937
Phone (207) 453-3000

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: kathleenpolonchek@mgh.allscriptsdirect.net
  • Direct secure messaging: kathleen.polonchek.1@15948.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1659784064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MAINE ST STE A200",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113310",
            "telephone_number": "207-373-4700",
            "fax_number": "207-618-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MAINE ST STE A200",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113310",
            "telephone_number": "207-373-4700",
            "fax_number": "207-618-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "ME",
            "postal_code": "049373314",
            "country_code": "US",
            "telephone_number": "207-453-3100",
            "fax_number": "207-453-3082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLONCHEK",
        "first_name": "KATHLEEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD21696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.