Roland H Knausenberger, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

01428 Issued in ME

Practice address

180 Kennedy Memorial Drive
Ste 202
Waterville, ME 04901

Phone

(207) 872-2900

Fax

(207) 872-8495

NPI assigned

Sep 13, 2006

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

Other identifiers 2

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

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Home Care & Hospice Home health agency, So Portland, ME, CCN 207020
• Amedisys Home Health Home health agency, Portland, ME, CCN 207073
• Mainegeneral Community Care Home health agency, Waterville, ME, CCN 207021
• Northern Light Home Care & Hospice Hospice, South Portland, ME, CCN 201502
• Maine General Medical Center Hospital, Augusta, ME, CCN 200039
• Redington Fairview General Hospital Hospital, Skowhegan, ME, CCN 201314

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rolandknausenberger@mgh.allscriptsdirect.net

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.

• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment Care Compare group NPD
• Roland H. Knausenberger, M.D. PA

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1073736229

  Geriatric Medicine

  NPD Authorized official
• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1083949184
  NPD
• Mainegeneral Medical Center

  • Community/Retail Pharmacy
  • Waterville, ME
  • NPI 1477344976
  NPD

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

• Amedisys Maine, P.L.L.C.

  • Home Health Agency
  • Portland, ME
  • NPI 1366617680
  Care Compare affiliation
• Redington-Fairview General Hospital

  • Critical Access Hospital
  • Skowhegan, ME
  • NPI 1174549133
  Care Compare affiliation
• Vna Home Health & Hospice

  • Home Health Agency
  • South Portland, ME
  • NPI 1245236306
  Care Compare affiliation
• Vna Home Health & Hospice

  • Community Based Hospice Care Agency
  • South Portland, ME
  • NPI 1578683280
  Care Compare affiliation

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1952406308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015134",
            "telephone_number": "800-395-0232",
            "fax_number": "207-861-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 KENNEDY MEMORIAL DRIVE",
            "address_2": "STE 202",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "04901",
            "telephone_number": "207-872-2900",
            "fax_number": "207-872-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUSENBERGER",
        "first_name": "ROLAND",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "01428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131920099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "099282",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Ann King, LSW-CONDITIONAL
• Amy Elizabeth Kirkpatrick, LCPC
• Zachary George Klett, MD
• Stephen P Klinker, D.D.S.
• Mark D. Kmen, LCSW
• Maryjane Knox
• Kyle A Knuppel, MD
• Elizabeth Gardner Koehler, MOT, OTR/L
• Claire Koenig, LCSW
• Peter C Kohler, M.D.

• Geriatric Medicine (Internal Medicine) Physician in Waterville, ME
• Providers in Waterville, ME by specialty
• Geriatric Medicine (Internal Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.