NPIMap

Individual provider Active NPI

Daniel G Kloda, D.O.

  • Vascular & Interventional Radiology Physician
  • Portland, ME
National Provider Identifier
1558432674
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DO2247 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-2571
NPI assigned
Nov 11, 2006
Last updated
Nov 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO2247 ME
Vascular & Interventional Radiology Physician 2085R0204X DO2247 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111020000434 ME Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8022280874 Reassigns benefits to 4 organizations
I20120222000175 NH Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8022280874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of New England, College of Osteo Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, shared by 7 NPIs, 305 clinicians

Practice addresses (Care Compare)

11 Rock Row
Suite 2a
Westbrook, ME 04092-4877
Phone (207) 289-3001

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

600 Turner St
Suite 1
Auburn, ME 04210-5093
Phone (207) 601-3333

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Partners, P.a Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Maine Molecular Imaging, LLC Diagnostic Radiology CurrentSince Feb 3, 2017 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Oct 1, 2011 Accepting new patients
Spectrum Healthcare Partners, P.a CurrentSince Dec 28, 2021 Accepting new patients
Maine Molecular Imaging LLC CurrentSince Jan 23, 2002 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Oct 1, 2011 Accepting new patients
Insight-Premier Health LLC Diagnostic Radiology CurrentSince Mar 12, 2018 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology Current Accepting new patients
Maine Molecular Imaging LLC CurrentSince Jan 31, 2002 Accepting new patients
Mainehealth Past Accepting new patients

Locations

600 Turner St
Ste 1
Auburn, ME 04210
Phone (207) 601-3333

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

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

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

33 Sewall St
Portland, ME 04102
Phone (207) 772-0076

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

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

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

11 Rock Row
Ste 2A
Westbrook, ME 04092
Phone (207) 289-3001

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

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.

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1558432674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLODA",
        "first_name": "DANIEL",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "DO2247",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "ME",
            "license": "DO2247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.