NPIMap

Individual provider Active NPI

Kristina A Giles-Magnifico, M.D.

  • Surgery Physician
  • Portland, ME
National Provider Identifier
1780874883
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD23932 Issued in ME
Practice address
887 Congress St Ste 400
Portland, ME 04102-3163
Phone
(207) 774-6368
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 232850 MA
Vascular Surgery Physician 2086S0129X ME120737 FL
Surgery Physician 208600000X MD23932 ME Primary

Addresses

Primary practice location

887 Congress St Ste 400
Portland, ME 04102-3163

Mailing address

887 Congress St Ste 400
Portland, ME 04102-3163
Phone (207) 774-6368

Other identifiers 1

IdentifierTypeStateIssuer
012882300MedicaidFL

Other names 1

  • Kristina A Giles Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200928002797 ME Practitioner - Vascular SurgeryPractitioner - General Surgery 6002035243 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Icahn School of Medicine at Mount Sinai, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

887 Congress St
Suite 200
Portland, ME 04102-3166
Phone (207) 771-5549

Hospital & facility affiliations

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
Spinal fusion1-10
Leg revascularization (restoring blood flow)17
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232850MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 17, 2020 Accepting new patients
Maine Medical Partners Surgery CurrentSince Aug 17, 2020 Accepting new patients
Maine Medical Partners CurrentSince Aug 17, 2020 Accepting new patients
Maine Medical Partners Surgery Current Accepting new patients
Mainehealth Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. Surgery Current Accepting new patients
Mainehealth CurrentSince Aug 17, 2020 Accepting new patients
Mainehealth Past Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

99 Campus Ave
Ste 301
Lewiston, ME 04240
Phone (207) 777-4320

887 Congress St
Ste 400
Portland, ME 04102
Phone (207) 774-6368

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

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

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

887 Congress St
Portland, ME 04102
Phone (207) 662-5522

96 Campus Dr
Ste 1
Scarborough, ME 04074
Phone (207) 396-5611

92 Campus Dr
Ste D1
Scarborough, ME 04074

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: kgiles301478@direct.mmc.mainehealth.org

Organizations & group practices 9

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 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1780874883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 CONGRESS ST STE 400",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023163",
            "telephone_number": "207-774-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 CONGRESS ST STE 400",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023163",
            "telephone_number": "207-774-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES-MAGNIFICO",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "232850",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME120737",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD23932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012882300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "GILES",
            "middle_name": "A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.