NPIMap

Individual provider Active NPI

Charlotte Paolini, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
National Provider Identifier
1609852946
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
1350 Issued in ME
Practice address
1250 Forest Ave
Portland, ME 04103-1884
Phone
(207) 878-9610
Fax
(207) 878-4941
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 1350 ME Primary

Addresses

Primary practice location

1250 Forest Ave
Portland, ME 04103-1884

Mailing address

1250 Forest Ave
Portland, ME 04103-1884
Phone (207) 878-9610

Other identifiers 7

IdentifierTypeStateIssuer
M1077907OtherMECIGNA
04-08809OtherMEEVERCARE
010211810015OtherMETRICARE
060972OtherMEANTHEM
304990099MedicaidME
P00049948OtherMERAILROAD MEDICARE
P36372OtherMEHARVARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NC2 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
I20040915000660 ME Practitioner - Geriatric Medicine 0941277297 Reassigns benefits to 2 organizations
I20130410000399 NC Practitioner - Family Practice 0941277297

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
University of New England, College of Osteo Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ventura Medical Services LLCGroup PAC ID 7618342254, 16 clinicians
University of New EnglandGroup PAC ID 4284534868, 13 clinicians

Practice addresses (Care Compare)

4 Union Park Rd
Suite 8
Topsham, ME 04086-1711
Phone (207) 200-5907

54 Gullivers Way
RM 10251026
Portland, ME 04103-2690
Phone (207) 602-3571

716 Stevens Ave
Portland, ME 04103-2656
Phone (207) 221-4242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1350MEMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of New England CurrentSince Aug 18, 2021 Accepting new patients
Ventura Medical Services LLC CurrentSince Jan 6, 2026 Accepting new patients
University of New England Geriatric Medicine CurrentSince Aug 18, 2021 Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients
Robert Marriott Medical Corp Past Accepting new patients
Sanford Senior Care Operations, LLC Past Accepting new patients

Locations

208 Graham St
Biddeford, ME 04005
Phone (207) 602-3571

11 Hills Beach Rd
Biddeford, ME 04005
Phone (207) 221-4242

1250 Forest Ave
Portland, ME 04103
Phone (207) 797-5753

716 Stevens Ave
Portland, ME 04103
Phone (207) 221-4242

54 Gullivers Way
Rm 10251026
Portland, ME 04103
Phone (207) 602-3571

4 Union Park Rd
Ste 8
Topsham, ME 04086

4 Union Park Rd
#8
Topsham, ME 04086
Phone (207) 200-5907

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 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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1609852946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031884",
            "telephone_number": "207-878-9610",
            "fax_number": "207-878-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031884",
            "telephone_number": "207-878-9610",
            "fax_number": "207-878-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINI",
        "first_name": "CHARLOTTE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M1077907",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "04-08809",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "010211810015",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "060972",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304990099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00049948",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "P36372",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.