Individual provider Active NPI

Vasavi Paidpally, M.D.

  • Diagnostic Radiology Physician
  • Bangor, ME
National Provider Identifier
1437592995
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD22625 Issued in ME
Practice address
489 State St
Bangor, ME 04401-6616
Phone
(207) 973-5979
Fax
(207) 956-6676
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 02170 NC
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X MD22625 ME Primary

Addresses

Primary practice location

489 State St
Bangor, ME 04401-6616

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7861

Other identifiers 1

IdentifierTypeStateIssuer
1437592995MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MI, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190523000940 ME Practitioner - Diagnostic Radiology 9931442555 Reassigns benefits to 1 organization
I20240529001121 MI Practitioner - Diagnostic RadiologyPractitioner - Neurology 9931442555 Reassigns benefits to 6 organizations
I20240607003351 NC Practitioner - Diagnostic Radiology 9931442555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Covenant Medical Center, Inc.Group PAC ID 2769387778, shared by 5 NPIs, 488 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, shared by 7 NPIs, 305 clinicians

Practice addresses (Care Compare)

1375 N Main St
Lapeer, MI 48446-1350
Phone (810) 667-5500

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

3317 Castlerock Dr
Burlington, NC 27215-0059
Phone (989) 583-6100

489 State St
Bangor, ME 04401-6616
Phone (207) 973-8305

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02170NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Bay Region CurrentSince Aug 14, 2025 Accepting new patients
McLaren Flint Diagnostic Radiology CurrentSince Aug 14, 2025 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
McLaren Bay Region CurrentSince Aug 14, 2025 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Jul 1, 2019 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Jul 2, 2024 Accepting new patients
McLaren Medical Group Diagnostic Radiology CurrentSince Apr 14, 2025 Accepting new patients
McLaren Hospital Group Diagnostic Radiology CurrentSince Jun 19, 2025 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Medical Group CurrentSince Apr 14, 2025 Accepting new patients
McLaren Flint CurrentSince Aug 14, 2025 Accepting new patients
Covenant Medical Center, Inc Diagnostic Radiology CurrentSince Jun 17, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Aug 14, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Aug 14, 2025 Accepting new patients
Spartan Radiology, Inc Diagnostic Radiology PastSince Jan 1, 2020 Accepting new patients

Locations

489 State St
#100
Bangor, ME 04401
Phone (207) 945-4680

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

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

4 Columbus Ave
Ste 160
Bay City, MI 48708
Phone (989) 377-4477

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

10090 E Lippincott Blvd
Davison, MI 48423
Phone (810) 653-1130

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

Organizations & group practices 16

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 16

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1437592995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7861",
            "fax_number": "207-482-7861"
        },
        {
            "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": "207-973-5979",
            "fax_number": "207-956-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIDPALLY",
        "first_name": "VASAVI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "02170",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD22625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437592995",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.