NPIMap

Individual provider Active NPI

William Arthur Castrucci, MD

  • Radiation Oncology Physician
  • Brewer, ME
National Provider Identifier
1396927604
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
018168 Issued in ME
Practice address
33 Whiting Hill Rd
Brewer, ME 04412-1021
Phone
(207) 973-7499
Fax
(207) 973-7630
NPI assigned
Nov 28, 2007
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 018168 ME Primary

Addresses

Primary practice location

33 Whiting Hill Rd
Brewer, ME 04412-1021

Mailing address

PO Box 683
Waterville, ME 04903-0683
Phone (207) 873-6034

Other identifiers 2

IdentifierTypeStateIssuer
434641199MedicaidME
001336501OtherMEMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000122 ME Practitioner - Radiation Oncology 9032265830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Geisel School of Medicine at Dartmouth, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Radiation Oncology PAGroup PAC ID 7214964196, 4 clinicians

Practice addresses (Care Compare)

33 Whiting Hill Rd
Lafayette Family Cancer Center
Brewer, ME 04412-1004
Phone (207) 973-7499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.43 of 100Reported as group
Quality
8.29
Promoting interoperability
100
Improvement activities
0
Cost
66.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018168MEMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Radiation Oncology PA Radiation Oncology CurrentSince Jul 27, 2009 Accepting new patients
Northeast Radiation Oncology PA Radiation Oncology Past Accepting new patients
Eastern Maine Medical Center Past Accepting new patients

Locations

417 State St
Ste 20
Bangor, ME 04401
Phone (207) 973-7478

33 Whiting Hill Rd
Brewer, ME 04412
Phone (207) 973-7478

33 Whiting Hill Rd
Ste 1
Brewer, ME 04412
Phone (207) 973-7499

Organizations & group practices 3

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 5

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1396927604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049030683",
            "telephone_number": "207-873-6034",
            "fax_number": "207-872-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WHITING HILL RD",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121021",
            "telephone_number": "207-973-7499",
            "fax_number": "207-973-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRUCCI",
        "first_name": "WILLIAM",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ME",
            "license": "018168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434641199",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "001336501",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewer, ME

Sources for this page

Verify at the official NPI Registry.