Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathy A Bush, MD

Individual provider Dermatology Physician · NPI 1508831900

Kathy A Bush, MD is a Dermatology in South Portland, Maine. Graduated from Columbia University College of Physicians and Surgeons in 2000, 26 years ago. Practices with Intermed PA, a 185-clinician group and accepts Medicare assignment. Licensed in Maine and North Carolina.

Years since qualifying
26
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
ME, NC
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 Foden Rd W Ste 100
South Portland, ME 04106
Phone: (207) 523-3900
Fax: (207) 523-8593
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 017218 (ME)
Dermatology Physician Taxonomy 207N00000X · Licence 2005-00586 (NC)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 2005-00586 (NC)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 2005-00586 (NC)

Record details

NPI number1508831900
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2000 (26 years in practice)
Group practice Intermed Pa — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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