NPIMap

Individual provider Active NPI

David James Rydell, DO

  • Surgery Physician
  • Bangor, ME
National Provider Identifier
1578509535
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO1749 Issued in ME
Practice address
700 Mount Hope Ave
Suite 620
Bangor, ME 04401-5691
Phone
(207) 907-3650
Fax
(207) 947-1360
NPI assigned
Jun 20, 2006
Last updated
Dec 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DO1749 ME Primary

Addresses

Primary practice location

700 Mount Hope Ave
Suite 620
Bangor, ME 04401-5691

Mailing address

700 Mount Hope Ave
Suite 620
Bangor, ME 04401-5691
Phone (207) 907-3650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, FL2 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
I20050614001158 ME Practitioner - General Surgery 2769426329 Reassigns benefits to 6 organizations
I20180423002712 FL Practitioner - General Surgery 2769426329

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

12 High St
Suite 401
Lewiston, ME 04240-7690
Phone (207) 795-2494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8059MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Aug 14, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Aug 14, 2023 Accepting new patients
Bridgton Hospital CurrentSince Oct 30, 2024 Accepting new patients
Rumford Hospital CurrentSince Oct 30, 2024 Accepting new patients
Mainehealth CurrentSince Jan 1, 2016 Accepting new patients
Bridgton Hospital CurrentSince Oct 30, 2024 Accepting new patients
Mainehealth CurrentSince Jan 1, 2016 Accepting new patients
Central Maine Medical Center Current Accepting new patients
Rumford Hospital CurrentSince Oct 30, 2024 Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients

Locations

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

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

12 High St
Ste 401
Lewiston, ME 04240
Phone (207) 795-2494

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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 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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1578509535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE",
            "address_2": "SUITE 620",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015691",
            "telephone_number": "207-907-3650",
            "fax_number": "207-947-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE",
            "address_2": "SUITE 620",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015691",
            "telephone_number": "207-907-3650",
            "fax_number": "207-947-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDELL",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "DO1749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.