Individual provider Active NPI

Matthew W Carroll, MD

  • Infectious Disease Physician
  • Bath, ME
National Provider Identifier
1104006691
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD14698 Issued in ME
Practice address
4 East LN
Bath, ME 04530-1672
Phone
(202) 549-0141
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X MD14698 ME
Infectious Disease Physician 207RI0200X MD14698 ME Primary

Addresses

Primary practice location

4 East LN
Bath, ME 04530-1672

Mailing address

4 East LN
Bath, ME 04530-1672
Phone (202) 549-0141

Other practice location 1

1326 Washington St
Bath, ME 04530-2847
Phone (207) 389-4516

Other practice location 2

123 Medical Center Dr
Brunswick, ME 04011-2652
Phone (207) 373-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628000137 ME Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Hospitalist 4587609706 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 1, 2023 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince May 9, 2017 Accepting new patients
Mainehealth Multi-Specialty Current Accepting new patients
St. Mary'S Regional Medical Center Multi-Specialty CurrentSince May 9, 2017 Accepting new patients
Mainehealth CurrentSince Jan 1, 2023 Accepting new patients
Lucy Webb Hayes National Training School for Deaconsses & Missonaries Multi-Specialty Past Accepting new patients
Medical Faculty Associates, Inc Multi-Specialty Past Accepting new patients

Locations

81 Medical Center Dr
Ste 1300
Brunswick, ME 04011
Phone (207) 373-6099

58 Baribeau Dr
Brunswick, ME 04011
Phone (207) 373-3638

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

93 Campus Ave
Ste G25
Lewiston, ME 04240
Phone (207) 333-4799

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Hospitalist, Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainehealth 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021
  • Lincolnhealth Hospital, Damariscotta, ME, CCN 201302

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1104006691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EAST LN",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301672",
            "telephone_number": "202-549-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EAST LN",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301672",
            "telephone_number": "202-549-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 Washington St",
            "address_purpose": "LOCATION",
            "city": "Bath",
            "state": "ME",
            "postal_code": "045302847",
            "country_code": "US",
            "telephone_number": "207-389-4516",
            "fax_number": "207-221-1308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112652",
            "country_code": "US",
            "telephone_number": "207-373-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD14698",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "ME",
            "license": "MD14698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, ME

Sources for this page

Verify at the official NPI Registry.