Active NPI
Matthew Daul
- Emergency Medicine Physician
- Bangor, ME
National Provider Identifier
1487896189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD19241
- Practice address
- 360 Broadway
Bangor, ME 04401 - Phone
- (207) 907-1703
- Fax
- (207) 907-1921
- NPI assigned
- Mar 27, 2009
- Last updated
- Feb 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD19241 | ME | Primary |
Addresses
Primary practice location
360 Broadway
Bangor, ME 04401
Mailing address
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8941
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdaul613819@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Rochester School of Medicine and Dentistry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Wayman LN
Bar Harbor, ME 04609-1625
Phone 20728850811375
360 Broadway
Bangor, ME 04401-3979
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital | Current | Accepting new patients | |
| Mount Desert Island Hospital | Current | Accepting new patients | |
| Mount Desert Island Hospital | Past | Accepting new patients |
Locations
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
10 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-5082
322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
- mdaul1150514@direct.bsmhealth.org
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Bar Harbor, ME
- NPI 1790764512
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
dba Community Dental Center
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Dental Center
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
Hospital
-
- Critical Access Hospital
- Bar Harbor, ME
- NPI 1790764512
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1487896189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7291",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042437291",
"telephone_number": "207-777-8941",
"fax_number": "207-777-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 BROADWAY",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-907-1703",
"fax_number": "207-907-1921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUL",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2022-02-15",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "MD19241",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdaul613819@direct-prd.goodhelpconnections.org",
"affiliation": "N",
"address_1": "360 Broadway",
"city": "Bangor",
"state": "ME",
"country_code": "US",
"postal_code": "04401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.