Pruthvi Kilaru, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TP25075 Issued in ME

Practice address

76 High St
Lewiston, ME 04240-7649

Phone

(207) 795-2800

NPI assigned

Apr 17, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rumford Community Family Health Center Inc.Group PAC ID 1557340460, shared by 2 NPIs, 35 clinicians

Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024
• Rumford Hospital Hospital, Rumford, ME, CCN 201306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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.

• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487

  ME

  Medicare reassignment Care Compare group NPD
• Central Maine Medical Center

  • Community/Retail Pharmacy
  • Lewiston, ME
  • NPI 1033874458
  NPD
• Central Maine Medical Center

  • Community/Retail Pharmacy
  • Lewiston, ME
  • NPI 1861433765
  NPD (past)

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

• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487

  Hospital

  Care Compare affiliation
• Rumford Hospital

  • Critical Access Hospital
  • Rumford, ME
  • NPI 1205991122

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1821884776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILARU",
        "first_name": "PRUTHVI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "TP25075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidspeace National Centers of New England Inc
• Kidspeace National Centers of New England Inc
• Kidspeace National Centers of New England Inc
• Shaun Kieran
• Holly Marie Kiidli, CADC
• Kara Kilmartin, RDN, LD
• Frances Ellen Kimball Russo, DO
• Jennifer S Kimball, NP
• Jenna M. King, RD
• Kathryn King, FNP-C

• Family Medicine Physician in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.