NPIMap

Individual provider Active NPI

Eric Thomas Kellett, MD

  • Cardiovascular Disease Physician
  • Biddeford, ME
National Provider Identifier
1811491731
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD28294 Issued in ME
Practice address
9 Healthcare Dr Ste 105
Biddeford, ME 04005-9445
Phone
(207) 282-3666
NPI assigned
Mar 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD28294 ME Primary

Addresses

Primary practice location

9 Healthcare Dr Ste 105
Biddeford, ME 04005-9445

Mailing address

9 Healthcare Dr Ste 105
Biddeford, ME 04005-9445
Phone (207) 282-3666

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
I20240807002267 ME Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1456602770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

25 A June St
Sanford, ME 04073-2642

9 Healthcare Dr
Biddeford, ME 04005-9449
Phone (207) 283-0998

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28294MEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Sep 1, 2024 Accepting new patients
Mainehealth CurrentSince Sep 1, 2024 Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients
The Ohio State University Wexner Medical Center Student in an Organized Health Care Education/Training Program PastSince Jun 3, 2025 Accepting new patients

Locations

9 Healthcare Dr
Ste 105
Biddeford, ME 04005
Phone (207) 282-3666

9 Healthcare Dr
Ste 105A
Biddeford, ME 04005

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

25A June St
Ste 112
Sanford, ME 04073
Phone (207) 282-3666

Interoperability endpoints

  • Direct secure messaging: ekellett877468@direct.mmc.mainehealth.org

Organizations & group practices 5

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1811491731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HEALTHCARE DR STE 105",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059445",
            "telephone_number": "207-282-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HEALTHCARE DR STE 105",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059445",
            "telephone_number": "207-282-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLETT",
        "first_name": "ERIC",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "MD28294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.