Individual provider Active NPI

Michael Stephen Decarolis, DO

  • Emergency Medicine Physician
  • Farmington, ME
National Provider Identifier
1487236881
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO4143 Issued in ME
Practice address
111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone
(207) 778-6031
Fax
(207) 779-2632
NPI assigned
Apr 25, 2021
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO4143 ME Primary

Addresses

Primary practice location

111 Franklin Health CMNS
Farmington, ME 04938-6144

Mailing address

111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 778-6031

Other practice location 1

38 Barbara Ln
Rochester, NY 14626-4002
Phone (585) 737-2536

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
I20250812000783 ME Practitioner - Emergency Medicine 5799222543 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 4, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Aug 4, 2025 Accepting new patients
Mainehealth Current Accepting new patients

Locations

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

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

Interoperability endpoints

  • Direct secure messaging: mdecarolis20370@direct.xtensys.com
  • Direct secure messaging: mdecarolis916341@direct.mmc.mainehealth.org

Organizations & group practices 4

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": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1487236881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FRANKLIN HEALTH CMNS",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386144",
            "telephone_number": "207-778-6031",
            "fax_number": "207-779-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FRANKLIN HEALTH CMNS",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386144",
            "telephone_number": "207-778-6031",
            "fax_number": "207-779-2632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Barbara Ln",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264002",
            "country_code": "US",
            "telephone_number": "585-737-2536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECAROLIS",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-25",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "DO4143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

Verify at the official NPI Registry.