Katelyn R Good, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD27270 Issued in ME

Practice address

5 Bucknam Rd Ste 2B
Portland, ME 04105-1209

Phone

(207) 781-1600

Fax

(207) 781-1507

NPI assigned

Jun 15, 2014

Last updated

Apr 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 1

Electronic endpoints 1

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

Internal Medicine

Education

Virginia Commonwealth University, School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Riverview Physical Therapy Limited PartnershipGroup PAC ID 2769393586, shared by 2 NPIs, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgood707250@direct.mmc.mainehealth.org

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.

• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment Care Compare group NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  dba MaineHealth Medical Group-Primary Care

  • Clinic/Center
  • Portland, ME
  • NPI 1487346722

  Internal Medicine

  NPD
• Providence Health & Services-Washington

  dba Providence Medical Group Alaska

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1841814795
  NPD (past)

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

• Mainehealth

  dba MMP Orthopedics ( Div of Orthopedic Trauma & Fracture Care)

  • Orthopaedic Trauma Physician
  • Portland, ME
  • NPI 1003113127

  Hospital

  Care Compare affiliation
• Mainehealth

  • Internal Medicine Physician
  • Windham, ME
  • NPI 1023321593

  Hospital

  Care Compare affiliation
• Mainehealth

  dba Maine Hemophilia and Thrombosis Center

  • General Acute Care Hospital
  • Scarborough, ME
  • NPI 1053647024
  Care Compare affiliation
• Mainehealth

  • Maternal & Fetal Medicine Physician
  • Portland, ME
  • NPI 1063726891

  Hospital

  Care Compare affiliation
• Mainehealth

  dba Maine Medical Center Infectious Disease

  • Infectious Disease Physician
  • Portland, ME
  • NPI 1073701157

  Hospital

  Care Compare affiliation
• Mainehealth

  dba Geriatric Consults

  • Geriatric Medicine (Internal Medicine) Physician
  • Portland, ME
  • NPI 1164610242

  Hospital

  Care Compare affiliation
• Mainehealth

  dba MMC Pediatric Intensive Care Unit

  • Pediatric Critical Care Medicine Physician
  • Portland, ME
  • NPI 1265536817

  Hospital

  Care Compare affiliation
• Mainehealth

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1346267879
  Care Compare affiliation
• Mainehealth

  dba Maine Medical Partners Endocrinlogy & Diabetes

  • Endocrinology, Diabetes & Metabolism Physician
  • Scarborough, ME
  • NPI 1356651038

  Hospital

  Care Compare affiliation
• Mainehealth

  dba MMP Surgical Care

  • Surgery Physician
  • Portland, ME
  • NPI 1376981993

  Hospital

  Care Compare affiliation
• Mainehealth

  dba MMC Pediatric Urology

  • Pediatric Urology Physician
  • Portland, ME
  • NPI 1457540486

  Hospital

  Care Compare affiliation
• Mainehealth

  dba Maine Medical Partners Pediatric Specialty Care

  • Gastroenterology Physician
  • Portland, ME
  • NPI 1477850592

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1912311259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BUCKNAM RD STE 2B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041051209",
            "telephone_number": "207-781-1600",
            "fax_number": "207-781-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BUCKNAM RD STE 2B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041051209",
            "telephone_number": "207-781-1600",
            "fax_number": "207-781-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave Ste Mc7082",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60637",
            "country_code": "US",
            "telephone_number": "773-702-6840",
            "fax_number": "773-702-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOD",
        "first_name": "KATELYN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-15",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "MD27270",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD27270",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD27270",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125064614",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "ME",
            "license": "MD27270",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036.146126",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AK",
            "license": "147791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1697207",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgood1140275@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3300 Providence Dr Ste B104",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995084690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Golub, MS, MD
• Bruce F Gomberg, MD
• Abigail Marie Gomo, DO
• Karyll De Jesus Gonzalez, M.D.
• Michael A Gonzalez
• Hannah K Goodale
• Denise Goode, RD
• Honnie D Goode, LCPC-C
• Mark D Goode, PA
• Keira Goodell

• Internal Medicine Physician in Portland, ME
• Providers in Portland, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.