KENNEBEC INTERNAL MEDICINE ASSOCIATES, P.A.
NPI 1811108699
Internal Medicine in Augusta, ME

Active since May 24, 2007CLIA 20D0089175 · Certificate of Compliance
9 GLENRIDGE DR, AUGUSTA, ME 04330(207) 623-8434 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kennebec Internal Medicine Associates, P.a. NPPES

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

KENNEBEC INTERNAL MEDICINE ASSOCIATES, P.A. (NPI 1811108699) is a healthcare organization registered as an internal medicine in Augusta, Maine and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through July 15, 2027 and lists Kevin Kane, M.d., as its authorized official.

NPPES Registry Identity

NPI1811108699
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKENNEBEC INTERNAL MEDICINE ASSOCIATES, P.A.
Location Address9 GLENRIDGE DRAugusta, ME 04330-6605
Mailing Address9 Glenridge DrAugusta, ME 04330-6605 · (207) 623-8434
Organization SubpartNo
Authorized OfficialKevin KaneM.d. · (207) 623-8434
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811108699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9 GLENRIDGE DR, Augusta, ME 04330

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennebec Internal Medicine Associates, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kennebec Internal Medicine Associates, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1306885207
9 GLENRIDGE DR
Augusta, ME 04330
(207) 623-8434
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1861431819
9 GLENRIDGE DR
Augusta, ME 04330
(207) 623-8434
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 20D0089175

Kennebec Internal Medicine Associates, PA · Augusta, ME
Active · expires Jul 15, 2027
CLIA Number20D0089175
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorDonald Strickland
Laboratory Phone(207) 623-8434
Laboratory LocationKennebec Internal Medicine Associates, PA9 Glenridge Drive, Augusta, ME 04330
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Kennebec Internal Medicine Associates, P.A.'s NPI number?

The NPI number for Kennebec Internal Medicine Associates, P.A. is 1811108699. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Kennebec Internal Medicine Associates, P.A. located?

Kennebec Internal Medicine Associates, P.A. is located at 9 Glenridge Dr, Augusta, ME 04330. The listed phone number is (207) 623-8434.

What is Kennebec Internal Medicine Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kennebec Internal Medicine Associates, P.A. enrolled in Medicare?

Yes. Kennebec Internal Medicine Associates, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kennebec Internal Medicine Associates, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Kennebec Internal Medicine Associates, P.A.. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kennebec Internal Medicine Associates, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 20D0089175) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kennebec Internal Medicine Associates, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.