Active NPI
Evangeline Thibodeau
- Infectious Disease Physician
- York, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD19168
- Practice address
- 2 Hospital Dr
Ste a
York, ME 03909-1011 - Phone
- (207) 351-3530
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | EL03724 | NH | |
| Infectious Disease Physician | 207RI0200X | MD19168 | ME | Primary |
Addresses
Primary practice location
2 Hospital Dr
Ste a
York, ME 03909-1011
Mailing address
2 Hospital Dr
Ste a
York, ME 03909-1011
Phone (207) 351-3530
Other practice location 1
801 Central Ave
Dover, NH 03820-2529
Phone (603) 742-7025
Other practice location 2
10 Members Way Ste 402
Dover, NH 03820-5933
Phone (603) 742-7025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120723000026 | ME | Practitioner - Internal Medicine | 6901062819 | Reassigns benefits to 1 organization |
| I20240419000580 | NH | Practitioner - Infectious Disease | 6901062819 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tufts University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- York HospitalAppledore Medical Group IncWentworth Douglass Physician Corporation
Practice addresses (Care Compare)
112 Sanford Rd
Wells, ME 04090-5533
114 Sanford Rd
Myhealth Wells
Wells, ME 04090-5533
Phone (207) 646-5211
15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321
155 Borthwick Ave
Suite 202
Portsmouth, NH 03801-7156
Phone (603) 433-8434
16 Hospital Dr
York, ME 03909-1011
Phone (207) 351-3715
801 Central Ave
Level1
Dover, NH 03820-2529
Phone (603) 740-2212
Hospital & facility affiliations
- York Hospital Home Care
- York Hospital
- Portsmouth Regional Hospital
- Wentworth-Douglass Hospital
- Frisbie Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 49 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19168 | ME | MD | Infectious Disease Physician |
| EL03724 | NH | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York Hospital | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Infectious Disease | Current | Accepting new patients |
| Appledore Medical Group, Inc | Infectious Disease | Current | Accepting new patients |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Appledore Medical Group Dba Woodbury Family Practice | Current | Accepting new patients | |
| Seacoast Pathology Inc | Current | Accepting new patients |
Locations
2 Hospital Dr
#A
York, ME 03909
Phone (207) 351-1513
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
10 Members Way
Ste 401
Dover, NH 03820
Phone (603) 516-0092
801 Central Ave
Dover, NH 03820
Phone (603) 742-3666
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
801 Central Ave
Ste 1
Dover, NH 03820
Phone (603) 740-9713
10 Members Way
Ste 402
Dover, NH 03820
Phone (603) 740-9713
330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242
330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242
155 Borthwick Ave
Ste 202
Portsmouth, NH 03801
Phone (603) 433-8434
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- evangaline.thibodeau@yh.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Portsmouth, NH
- NPI 1720077167
Infectious Disease, NH
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
Infectious Disease, NH
-
- Home Health Agency
- York, ME
- NPI 1538144662
-
- Family Medicine Physician
- Newington, NH
- NPI 1225232184
-
- Clinical Medical Laboratory
- Exeter, NH
- NPI 1154651230
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- York, ME
- NPI 1538144662
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1205005444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HOSPITAL DR",
"address_2": "STE A",
"city": "YORK",
"state": "ME",
"postal_code": "039091011",
"telephone_number": "207-351-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HOSPITAL DR",
"address_2": "STE A",
"city": "YORK",
"state": "ME",
"postal_code": "039091011",
"telephone_number": "207-351-3530"
}
],
"practiceLocations": [
{
"address_1": "801 Central Ave",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "NH",
"postal_code": "038202529",
"country_code": "US",
"telephone_number": "603-742-7025",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Members Way Ste 402",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "NH",
"postal_code": "038205933",
"country_code": "US",
"telephone_number": "603-742-7025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THIBODEAU",
"first_name": "EVANGELINE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NH",
"license": "EL03724",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "ME",
"license": "MD19168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.