Individual provider Active NPI

Reynaldo A Arceo, DO

  • Family Medicine Physician
  • Bangor, ME
National Provider Identifier
1144347196
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2064 Issued in ME
Practice address
489 State St
Bangor, ME 04401-6616
Phone
(207) 973-7000
Fax
(207) 973-5042
NPI assigned
Mar 23, 2007
Last updated
Feb 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2064 ME Primary

Addresses

Primary practice location

489 State St
Bangor, ME 04401-6616

Mailing address

470 Somerset Ave
Pittsfield, ME 04967-4928
Phone (207) 487-5154

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
I20080916000049 ME Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1052488178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Sebasticook Valley HealthGroup PAC ID 3476462797, 35 clinicians

Practice addresses (Care Compare)

447 N Main St
Pittsfield, ME 04967-3707
Phone (207) 487-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
74.88
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2064MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sebasticook Valley Health Family Medicine CurrentSince Oct 15, 2009 Accepting new patients
Sebasticook Valley Health CurrentSince Oct 15, 2009 Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

470 Somerset Ave
Pittsfield, ME 04967
Phone (207) 487-3884

Organizations & group practices 2

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1144347196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SOMERSET AVE",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049674928",
            "telephone_number": "207-487-5154",
            "fax_number": "207-487-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-7000",
            "fax_number": "207-973-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCEO",
        "first_name": "REYNALDO",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "2064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.