Individual provider Active NPI

Kathryn Rutledge, M.D.

  • Pediatrics Physician
  • Caribou, ME
National Provider Identifier
1952379562
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
015376 Issued in ME
Practice address
163 Van Buren Rd
Caribou, ME 04736-3567
Phone
(207) 492-3451
Fax
(207) 498-1392
NPI assigned
Mar 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 015376 ME Primary

Addresses

Primary practice location

163 Van Buren Rd
Caribou, ME 04736-3567

Mailing address

PO Box 40
Caribou, ME 04736-0040
Phone (207) 498-2350

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071002000022 ME Practitioner - Pediatric Medicine 5890880165 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Aroostook Medical Center CurrentSince May 24, 2025 Accepting new patients
The Aroostook Medical Center Current Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 22, 2011 Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 22, 2011 Accepting new patients
The Aroostook Medical Center CurrentSince May 24, 2025 Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

23 North St
Ste 1
Presque Isle, ME 04769
Phone (207) 764-5437

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952379562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360040",
            "telephone_number": "207-498-2350",
            "fax_number": "207-498-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363567",
            "telephone_number": "207-492-3451",
            "fax_number": "207-498-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "KATHRYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "015376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

Verify at the official NPI Registry.