NPIMap

Individual provider Active NPI

Catherine R Fredricks-Rehagen, DO

  • Internal Medicine Physician
  • Bath, ME
National Provider Identifier
1821257650
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2231 Issued in ME
Practice address
108 Centre St
Bath, ME 04530-2550
Phone
(207) 386-1800
Fax
(207) 386-1801
NPI assigned
Jun 6, 2008
Last updated
Feb 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2231 ME Primary

Addresses

Primary practice location

108 Centre St
Bath, ME 04530-2550

Mailing address

108 Centre St
Bath, ME 04530-2550
Phone (207) 386-1800

Other identifiers 1

IdentifierTypeStateIssuer
12297912OtherCAQH

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
I20120117000845 ME Practitioner - Internal Medicine 2264609163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 2008
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)

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2231MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 1, 2020 Accepting new patients
Mainehealth CurrentSince Nov 1, 2020 Accepting new patients
Maine Medical Partners CurrentSince Dec 29, 2019 Accepting new patients
Maine Medical Partners CurrentSince Dec 29, 2019 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

108 Centre St
Bath, ME 04530
Phone (207) 386-1800

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

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

1 Wellness Way
Ste A
Topsham, ME 04086
Phone (207) 386-1808

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

Interoperability endpoints

  • Direct secure messaging: cfredricksrehagen123001@direct.mmc.mainehealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1821257650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CENTRE ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302550",
            "telephone_number": "207-386-1800",
            "fax_number": "207-386-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CENTRE ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302550",
            "telephone_number": "207-386-1800",
            "fax_number": "207-386-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKS-REHAGEN",
        "first_name": "CATHERINE",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "2231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12297912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, ME

Sources for this page

Verify at the official NPI Registry.