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KOLLEEN CANNON DOUGHERTY M.D.
NPI 1427120708
Anesthesiology in Portland, ME

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2526 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kolleen Cannon Dougherty M.d. NPPES

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

KOLLEEN CANNON DOUGHERTY M.D. (NPI 1427120708) is an individual anesthesiology provider in Portland, Maine, licensed in Maine (MD15174) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (1994).

NPPES Registry Identity

NPI1427120708
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameKOLLEEN CANNON DOUGHERTYCredential: M.D.
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address324 Gannett Dr Ste 200South Portland, ME 04106-3266 · (207) 482-7800
Phone(207) 662-2526
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1994
Enumeration DateNovember 14, 2006
Last NPPES UpdateOctober 27, 2015
✔ NPI 1427120708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in ME · MD15174
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
22 BRAMHALL ST, Portland, ME 04102
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Other Names 1

Former Name (1)Kolleen Cannon

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kolleen Cannon Dougherty M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991735938
PECOS Enrollment IDI20050818000726
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 Billing Reassignments

3

Medicare enrollment records show Kolleen Dougherty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Maine Medical Center
31 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646
Bridgton Hospital
35 mi
Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 clinicians in this Medicare group
NPI 1154370153 (207) 795-5709
Rumford Hospital
64 mi
Critical Access
420 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 544 clinicians in this Medicare group
NPI 1205991122 (207) 369-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

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.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Kolleen Dougherty's NPI number?

The NPI number for Kolleen Dougherty is 1427120708. It was assigned to this individual provider in the NPPES registry on November 14, 2006. The provider is also known as Kolleen Cannon.

Where is Kolleen Dougherty located?

Kolleen Dougherty practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2526.

What is Kolleen Dougherty's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kolleen Dougherty enrolled in Medicare?

Yes. Kolleen Dougherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kolleen Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kolleen Dougherty reassigns Medicare benefits to 3 organizations: Central Maine Medical Center (Lewiston, ME), Bridgton Hospital (Bridgton, ME) and Rumford Hospital (Rumford, 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 Kolleen Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kolleen Dougherty affiliated with any hospitals?

According to CMS data, Kolleen Dougherty is affiliated with Central Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Kolleen Dougherty was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.