DR. KARTIKEY A PANDYA MD
NPI 1265631352
Surgery - Pediatric Surgery in Portland, ME
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
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kartikey A Pandya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kartikey Pandya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 188 clinicians in this Medicare group
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
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.
Which organizations bill Medicare for Kartikey Pandya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kartikey Pandya reassigns Medicare benefits to 2 organizations: Maine Medical Partners (Portland, ME) and Mainehealth (Portland, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kartikey Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kartikey Pandya accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health 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.
# Dr. Kartikey A Pandya, MD · NPI 1265631352
Pediatric Surgery physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since July 17, 2007.
## Identity
- **NPI:** 1265631352 (Entity type: Individual)
- **Enumerated:** July 17, 2007
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** MD20936 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 887 CONGRESS ST, SUITE 300, Portland, ME 04102-3100
- **Phone:** (207) 662-5555 · **Fax:** (207) 662-5526
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Maine Medical Partners (NPI 1134305386, Portland, ME); Mainehealth (NPI 1063726891, Portland, ME) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2017
- **Other identifiers:** Medicare PIN E400329189 (ME); Medicare PIN E400329185 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1265631352) · Data from the CMS NPPES public registry.