Individual provider Active NPI

Sarah Beth Shubert, MD

  • Orthopaedic Surgery Physician
  • Portland, ME
National Provider Identifier
1487656724
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
018045 Issued in ME
Practice address
117 Auburn St
Portland, ME 04103-6003
Phone
(207) 797-4791
Fax
(207) 317-5390
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 018045 ME Primary
Orthopaedic Surgery Physician 207X00000X A90230 CA
Orthopaedic Surgery Physician 207X00000X M3461 TX

Addresses

Primary practice location

117 Auburn St
Portland, ME 04103-6003

Mailing address

C/O St Marys Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950

Other practice location 1

117 Auburn St
Portland, ME 04103-6003
Phone (207) 797-4791

Other identifiers 2

IdentifierTypeStateIssuer
187028901MedicaidTX
0094NSOtherTXBCBS

Other names 1

  • Sarah Shubert Banerjee Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sshubert968430@direct-prd.goodhelpconnections.org

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
I20090226000029 ME Practitioner - Orthopedic Surgery 8325076037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians

Practice addresses (Care Compare)

155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

20 Northbrook Dr
Falmouth, ME 04105-1318
Phone (207) 781-4424

40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174

Hospital & facility affiliations

  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
60.7
Promoting interoperability
91
Improvement activities
40
Cost
73.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90230CAMDOrthopaedic Surgery Physician
018045MEMDOrthopaedic Surgery Physician
M3461TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital CurrentSince Nov 7, 2021 Accepting new patients
Mercy Hospital CurrentSince Nov 7, 2021 Accepting new patients
Mercy Hospital Current Accepting new patients
Falmouth Orthopaedic Center Orthopaedic Surgery Current Accepting new patients

Locations

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

20 Northbrook Dr
Falmouth, ME 04105
Phone (207) 781-4424

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

117 Auburn St
Portland, ME 04103
Phone (207) 797-4445

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

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 and National Provider Directory roles.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1487656724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT",
            "address_2": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8950",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 AUBURN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036003",
            "telephone_number": "207-797-4791",
            "fax_number": "207-317-5390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Auburn St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041036003",
            "country_code": "US",
            "telephone_number": "207-797-4791",
            "fax_number": "207-317-5390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUBERT",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "018045",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A90230",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M3461",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187028901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0094NS",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshubert968430@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "117 Auburn St",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041036003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BANERJEE",
            "middle_name": "SHUBERT",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.