NPIMap

Individual provider Active NPI

Daniel Stevenson Stadler, MD

  • Internal Medicine Physician
  • Skowhegan, ME
National Provider Identifier
1467479022
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD25308 Issued in ME
Practice address
23 Cedar Ridge Dr
Skowhegan, ME 04976-4160
Phone
(207) 474-9686
NPI assigned
Jul 17, 2006
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12147 NH
Internal Medicine Physician 207R00000X MD25308 ME Primary

Addresses

Primary practice location

23 Cedar Ridge Dr
Skowhegan, ME 04976-4160

Mailing address

1 Medical Center Dr
DHMC - Department of General Internal Medicine
Lebanon, NH 03756-1000
Phone (603) 650-6943

Other practice location 1

1 Medical Center Dr
DHMC
Lebanon, NH 03756-0001
Phone (603) 650-5000

Other identifiers 2

IdentifierTypeStateIssuer
30201790MedicaidNH
1008180MedicaidVT

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
I20220104000884 ME Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 5991791766 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Dec 29, 2022 Accepting new patients
Alignmed Medical Group, PC CurrentSince Sep 25, 2024 Accepting new patients
Maine Medical Partners Internal Medicine CurrentSince Dec 29, 2022 Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine CurrentSince Nov 23, 2021 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Nov 23, 2021 Accepting new patients
Alignmed Partners, PC CurrentSince Nov 23, 2021 Accepting new patients
Brattleboro Memorial Hospital Internal Medicine PastSince Aug 1, 2016 Accepting new patients
Falmouth Operations LLC Past Accepting new patients
Kennebunk Operations, LLC Past Accepting new patients
Lewiston Operations, LLC Past Accepting new patients

Locations

105 Mechanic St
Camden, ME 04843
Phone (207) 236-2573

22 Northbrook Dr
Falmouth, ME 04105
Phone (207) 781-5775

3 Brazier Ln
Kennebunk, ME 04043
Phone (207) 467-4676

33 Roger St
Lewiston, ME 04240
Phone (207) 784-0108

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

66 Bramhall St
Ste G1
Portland, ME 04102
Phone (207) 662-2847

67 Pine Point Rd
Scarborough, ME 04074
Phone (207) 883-2468

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

23 Cedar Ridge Dr
Skowhegan, ME 04976
Phone (207) 474-9686

Interoperability endpoints

  • Direct secure messaging: dstadler16665@direct.dartmouth-hitchcock.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marshwood CenterLewiston, ME, CCN 205072 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2024
Feb 24, 2025
Pine Point CenterScarborough, ME, CCN 205070 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2024
Mar 3, 2025
Sedgewood CommonsFalmouth, ME, CCN 205159 Skilled nursing facility Adp of the SNF May 16, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1467479022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC - DEPARTMENT OF GENERAL INTERNAL MEDICINE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CEDAR RIDGE DR",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049764160",
            "telephone_number": "207-474-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "DHMC",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STADLER",
        "first_name": "DANIEL",
        "middle_name": "STEVENSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "12147",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD25308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201790",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008180",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skowhegan, ME

Sources for this page

Verify at the official NPI Registry.