Active NPI
Kunal Tandon, MD
- Clinical Cardiac Electrophysiology Physician
- Scarborough, ME
National Provider Identifier
1619314960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD24529
- Practice address
- 96 Campus Dr
Scarborough, ME 04074-7163 - Phone
- (207) 885-9905
- NPI assigned
- May 28, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD24529 | ME | |
| Internal Medicine Physician | 207R00000X | L-255326 | MA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD24529 | ME | Primary |
Addresses
Primary practice location
96 Campus Dr
Scarborough, ME 04074-7163
Mailing address
96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905
Other practice location 1
93 Campus Avenue
Lewiston, ME 04240-6030
Phone (207) 755-3240
Other practice location 2
791 Turner St Unit 2
Auburn, ME 04210-6314
Phone (207) 330-3900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ktandon1509876@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
- Cardiac Electrophysiology
- Education
- Boston University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
149 N St
Waterville, ME 04901-4974
Phone (207) 872-1800
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 430-4321
93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8100
96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Memorial Hospital, the
- Maine General Medical Center
- Mainehealth Mid Coast Hospital
- Mainehealth Pen Bay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- 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
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-255326 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Cardiovascular Disease | Current | Accepting new patients |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Internal Medicine | Past | Accepting new patients |
Locations
791 Turner St
#2
Auburn, ME 04210
Phone (207) 330-3900
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
99 Campus Ave
Ste 301
Lewiston, ME 04240
Phone (207) 777-4320
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549
96 Campus Dr
Ste 1
Scarborough, ME 04074
Phone (207) 396-5611
96 Campus Dr
Scarborough, ME 04074
Phone (207) 885-9905
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Interoperability endpoints
- ktandon379932@direct.mmc.mainehealth.org
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 and National Provider Directory roles.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- Obstetrics & Gynecology Physician
- Portland, ME
- NPI 1104921535
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Cardiovascular Disease Physician
- Scarborough, ME
- NPI 1386937175
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
-
- Urgent Care Clinic/Center
- Auburn, ME
- NPI 1407242522
-
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
Hospital & facility affiliations 43
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1619314960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 CAMPUS DR",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747163",
"telephone_number": "207-885-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 CAMPUS DR",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747163",
"telephone_number": "207-885-9905"
}
],
"practiceLocations": [
{
"address_1": "93 Campus Avenue",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "042406030",
"country_code": "US",
"telephone_number": "207-755-3240",
"fax_number": "207-755-3246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "791 Turner St Unit 2",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "ME",
"postal_code": "042106314",
"country_code": "US",
"telephone_number": "207-330-3900",
"fax_number": "207-330-3940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANDON",
"first_name": "KUNAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-28",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ME",
"license": "MD24529",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "L-255326",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "ME",
"license": "MD24529",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ktandon1509876@direct-prd.goodhelpconnections.org",
"affiliation": "N",
"address_1": "93 Campus Avenue",
"city": "Lewiston",
"state": "ME",
"country_code": "US",
"postal_code": "042406030",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.