Individual provider Active NPI

Susan D. Paul, MD

  • Internal Medicine Physician
  • Bridgton, ME
National Provider Identifier
1316102478
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD19838 Issued in ME
Practice address
25 Hospital Dr
Bridgton, ME 04009-1167
Phone
(207) 647-2311
Fax
(207) 647-6015
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 54

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

View all 54

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blueprint Healthcare LLC 11 clinicians

Practice addresses (Care Compare)

110 Highland Ave
Bangor, ME 04401-4659
Phone (781) 609-3222

132 Middle Rd
Union, ME 04862-4018
Phone (781) 609-3222

18 Black Point Rd
Scarborough, ME 04074-9816
Phone (781) 609-3222

186 Portland Rd
Bridgton, ME 04009-4224
Phone (781) 609-3222

19 Mill St
Brewer, ME 04412-2508
Phone (781) 609-3222

25 Country Club Dr
South Portland, ME 04106-3363
Phone (781) 609-3222

42 Bucksport Rd
Amherst, ME 04605-2230
Phone (781) 609-3222

434 Roosevelt TRL
Casco, ME 04015-3515
Phone (781) 609-3222

462 Essex St
Dover Foxcroft, ME 04426-1311
Phone (781) 609-3222

465 W Corinth Rd
Corinth, ME 04427-3144
Phone (781) 609-3222

489 S Main St
Brewer, ME 04412-2428
Phone (781) 609-3222

51 Main St
Springvale, ME 04083-1843
Phone (781) 609-3222

51 Mechanic St
Camden, ME 04843-1845
Phone (781) 609-3222

532 Union St
Bangor, ME 04401-3751
Phone (781) 609-3222

6 Roosevelt Ave
Brewer, ME 04412-2510
Phone (781) 609-3222

70 Fairview Dr
Fryeburg, ME 04037-1524
Phone (781) 609-3222

75 State St
Portland, ME 04101-3746
Phone (781) 609-3222

960 Meadow Rd
Casco, ME 04015-3316
Phone (781) 609-3222

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, South Portland, ME, CCN 207038
  • Andwell Health Partners Home health agency, Lewiston, ME, CCN 207019
  • Wentworth Home Care & Hospice, an Amedisys Partner Home health agency, Somersworth, NH, CCN 307014
  • Amedisys Home Health Home health agency, Portland, ME, CCN 207073
  • Northern Light Home Care & Hospice Home health agency, So Portland, ME, CCN 207020
  • Affinity Care of Maine, LLC Hospice, South Portland, ME, CCN 201524
  • Andwell Health Partners Hospice, Lewiston, ME, CCN 201513
  • Gentiva I Hospice, South Portland, ME, CCN 201525
  • Bristol Hospice - Bangor LLC Hospice, Bangor, ME, CCN 201526
  • Andwell Health Partners Hospice, Scarborough, ME, CCN 201511
  • Northern Light Mayo Hospital Hospital, Dover Foxcroft, ME, CCN 201309
  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063
  • Bridgton Hospital Hospital, Bridgton, ME, CCN 201310
  • Memorial Hospital, the Hospital, North Conway, NH, CCN 301307
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Merit-based Incentive Payment System (MIPS)

Final score
15.19 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
50.62

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

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
I20120615000253 ME Practitioner - Internal Medicine 0446414858 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19838MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince Apr 12, 2012 Accepting new patients
Bridgton Hospital CurrentSince Apr 12, 2012 Accepting new patients
Blueprint Healthcare LLC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Davis Long Term Care Group Inc Past Accepting new patients
Brock Crawford LLC Past Accepting new patients
Davis Long Term Care Group Inc Past Accepting new patients
Davis Long Term Care Group Inc Past Accepting new patients
North Country Associates, Inc Past Accepting new patients
Brock Lodges LLC Past Accepting new patients
Brock Hilltop LLC Past Accepting new patients
Davis Long Term Care Group Inc Past Accepting new patients
Bella Point, Inc. Past Accepting new patients
Bella Point Inc Past Accepting new patients
Brock Pleasant LLC Past Accepting new patients
Alaimo Healthcare, LLC Past Accepting new patients
Seventy Five State Street Past Accepting new patients
North Country Associates, Inc Past Accepting new patients
Catch-Wim LLC Past Accepting new patients

Locations

451 Andover St
Ste 205
North Andover, MA 01845
Phone (978) 983-2434

186 Portland Rd
Bridgton, ME 04009
Phone (207) 594-4990

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

25 Hospital Dr
Bridgton, ME 04009
Phone (207) 524-3501

137 Park St
Dover Foxcroft, ME 04426
Phone (207) 564-2444

462 Essex St
Dover Foxcroft, ME 04426
Phone (207) 564-3049

70 Fairview Dr
Fryeburg, ME 04037
Phone (207) 786-0111

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

174 Main St
Madison, ME 04950
Phone (207) 326-4344

1145 Brighton Ave
Portland, ME 04102
Phone (207) 541-6500

51 Main St
Springvale, ME 04083
Phone (207) 324-4757

Interoperability endpoints

  • Direct secure messaging: blueprinthealthcare.susanpaul@159334.advancedmd-direct.com
  • Direct secure messaging: susan.paul@629144012128260.direct.elationemr.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD19838 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

25 Hospital Dr
Bridgton, ME 04009-1167

Mailing address

180 Church Hill Rd Ste 1
Leeds, ME 04263-3418
Phone (207) 524-3501

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2021.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1316102478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CHURCH HILL RD STE 1",
            "city": "LEEDS",
            "state": "ME",
            "postal_code": "042633418",
            "telephone_number": "207-524-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL DR",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091167",
            "telephone_number": "207-647-2311",
            "fax_number": "207-647-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "SUSAN",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD19838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgton, ME

Sources for this page

Verify at the official NPI Registry.