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DR. KARTIKEY A PANDYA MD
NPI 1265631352
Surgery - Pediatric Surgery in Portland, ME

Active since July 17, 2007PECOS Enrolled
98.06/100
CMS Quality Rating
887 CONGRESS ST, SUITE 300, PORTLAND, ME 04102(207) 662-5555(207) 662-5526 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2017, Jan 6, 2017, Dec 20, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Kartikey A Pandya Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KARTIKEY A PANDYA MD (NPI 1265631352) is an individual pediatric surgery provider in Portland, Maine, licensed in Maine (MD20936) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265631352
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. KARTIKEY A PANDYACredential: MD
Location Address887 CONGRESS ST, SUITE 300Portland, ME 04102-3100
Mailing Address190 Riverside St, Suite 6bPortland, ME 04103-1073 · (207) 661-2000
Phone(207) 662-5555
Fax(207) 662-5526
Sole ProprietorNo
Enumeration DateJuly 17, 2007
Last NPPES UpdateApril 27, 20174 updates tracked since enumeration
✔ NPI 1265631352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in ME · MD20936
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
887 CONGRESS ST, Portland, ME 04102
Open in Google Maps ↗

Other Identifiers 2

Medicare PINE400329189ME
Medicare PINE400329185ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kartikey A Pandya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NICOLE L. MIZNER C.P.N.P.
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 310
PORTLAND, ME 04102
Cumberland County (207) 773-2723
KENNETH LOMBARD M.D.
Pediatrics (Pediatric Gastroenterology)
887 CONGRESS ST, SUITE 410B
PORTLAND, ME 04102
Cumberland County (207) 662-5522
JANICE M STILKEY PNP
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522
LESLIE S WU MD
Surgery
887 CONGRESS ST, SUITE 400
PORTLAND, ME 04102
Cumberland County (207) 774-6368
ANNE C COATES M.D.
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLANAD, ME 04102
Cumberland County (207) 662-5522
MARIE H TANZER MD
Pediatrics (Pediatric Nephrology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522
MAINEHEALTH
Obstetrics & Gynecology (Maternal & Fetal Medicine)
887 CONGRESS ST, SUITE 200
PORTLAND, ME 04102
Cumberland County (207) 771-5549
DR. COLBY A WYATT MD PHD
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kartikey Pandya's NPI number?

The NPI number for Kartikey Pandya is 1265631352. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Kartikey Pandya located?

Kartikey Pandya practices at 887 Congress St Suite 300, Portland, ME 04102. The listed phone number is (207) 662-5555.

What is Kartikey Pandya's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Kartikey Pandya enrolled in Medicare?

Yes. Kartikey Pandya is registered in the Medicare PECOS enrollment system.

What insurance does Kartikey Pandya accept?

Health plans from Ambetter from NH Healthy Families and Harvard Pilgrim Health Care list Kartikey Pandya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kartikey Pandya was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.