Individual provider Active NPI

John P Nadeau, D.O.

  • Surgery Physician
  • Biddeford, ME
National Provider Identifier
1366623548
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO2732 Issued in ME
Practice address
9 Healthcare Dr Ste 204
Biddeford, ME 04005-9450
Phone
(207) 284-2630
NPI assigned
Nov 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036131230 IL
Surgery Physician 208600000X DO2732 ME Primary

Addresses

Primary practice location

9 Healthcare Dr Ste 204
Biddeford, ME 04005-9450

Mailing address

1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 284-2630

Other practice location 1

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411 ext. 512

Other practice location 2

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411 ext. 512

Other practice location 3

1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 284-2630

Other identifiers 1

IdentifierTypeStateIssuer
036131230MedicaidIL

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
I20180226000758 ME Practitioner - General Surgery 9931250107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of New England, College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pines Health ServicesGroup PAC ID 0749275113, 58 clinicians

Practice addresses (Care Compare)

163 Van Buren Rd
Caribou, ME 04736-3567
Phone (207) 498-6921

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux28
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth14
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036131230ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Dec 25, 2017 Accepting new patients
Mainehealth CurrentSince Dec 25, 2017 Accepting new patients
Pines Health Services Surgery CurrentSince Apr 1, 2019 Accepting new patients
Pines Health Services CurrentSince Apr 1, 2019 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Surgery Past Accepting new patients

Locations

9 Healthcare Dr
Ste 204
Biddeford, ME 04005
Phone (207) 284-2630

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

Interoperability endpoints

  • Direct secure messaging: jnadeau376980@direct.ochin.org

Organizations & group practices 5

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 1

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": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1366623548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059422",
            "telephone_number": "207-284-2630",
            "fax_number": "207-294-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HEALTHCARE DR STE 204",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059450",
            "telephone_number": "207-284-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 E Court St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "IL",
            "postal_code": "619442460",
            "country_code": "US",
            "telephone_number": "217-465-8411 x512",
            "fax_number": "217-463-3184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 E Court St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "IL",
            "postal_code": "619442460",
            "country_code": "US",
            "telephone_number": "217-465-8411 x512",
            "fax_number": "217-463-3184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059422",
            "country_code": "US",
            "telephone_number": "207-284-2630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036131230",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "DO2732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036131230",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.