Individual provider Active NPI

Paul Kluger, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Bangor, ME
National Provider Identifier
1487638177
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
012600 Issued in ME
Practice address
885 Union St
Suite 145
Bangor, ME 04401-3083
Phone
(207) 973-9595
Fax
(207) 973-7898
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 012600 ME Primary

Addresses

Primary practice location

885 Union St
Suite 145
Bangor, ME 04401-3083

Mailing address

43 Whiting Hill Rd
Brewer, ME 04412-1005
Phone (207) 973-5000

Other identifiers 8

IdentifierTypeStateIssuer
002412OtherMEANTHEM BLUE SHIELD
1040656OtherMEAETNA INDIV #
620012901OtherMECIGNA INDIV #
306530099MedicaidME
040013980OtherMERAILROAD INDIV PROV #
110570001MedicaidME
100224700OtherMEDEPT OF LABOR GROUP #
110570000MedicaidME

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
I20050523001090 ME Practitioner - Otolaryngology 2769424530 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rutgers New Jersey Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

15 Anchor Dr
Rockport, ME 04856-3847

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012600MEMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Nov 6, 2018 Accepting new patients
Mainehealth CurrentSince Nov 5, 2018 Accepting new patients
Mainehealth CurrentSince Nov 6, 2018 Accepting new patients
Penobscot Bay Physicians & Associates CurrentSince Nov 6, 2018 Accepting new patients
Mercy Hospital Past Accepting new patients

Locations

116 Northport Ave
Ste 118
Belfast, ME 04915
Phone (207) 338-4409

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

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

43 Baxter Blvd
Portland, ME 04101
Phone (207) 775-6381

3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400

68 Ben Paul Ln
Rockport, ME 04856
Phone (207) 236-4444

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

Interoperability endpoints

  • Direct secure messaging: pkluger233255@direct.mmc.mainehealth.org

Organizations & group practices 6

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 2

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1487638177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121005",
            "telephone_number": "207-973-5000",
            "fax_number": "207-973-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 UNION ST",
            "address_2": "SUITE 145",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013083",
            "telephone_number": "207-973-9595",
            "fax_number": "207-973-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUGER",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "ME",
            "license": "012600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "002412",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIV #",
            "identifier": "1040656",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INDIV #",
            "identifier": "620012901",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306530099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD INDIV PROV #",
            "identifier": "040013980",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110570001",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR GROUP #",
            "identifier": "100224700",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110570000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.