Active NPI
Frederick Clapp Roediger, M.D.
- Otolaryngology Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD18047
- Practice address
- 1250 Forest Ave
Suite 301
Portland, ME 04103-1897 - Phone
- (207) 797-5753
- Fax
- (207) 797-9571
- NPI assigned
- Feb 28, 2007
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD18047 | ME | Primary |
Addresses
Primary practice location
1250 Forest Ave
Suite 301
Portland, ME 04103-1897
Mailing address
301C US Route 1
Scarborough, ME 04074-9701
Phone (207) 396-8600
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30209197 | Other | ME | NEW HAMPSHIRE MEDICAID |
| P00759644 | Other | ME | RAILROAD MEDICARE GROUP PTAN |
| 1044199 | Other | ME | AETNA |
| AA146929 | Other | ME | HARVARD PILGRIM |
| 433941099 | Medicaid | ME |
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
- Otolaryngology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
30 W Cole Rd
Biddeford, ME 04005-9453
Phone (207) 284-6673
92 Campus Dr
Scarborough, ME 04074-7229
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Mainehealth Stephens Hospital
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 |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD18047 | ME | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Otolaryngology | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients |
Locations
1250 Forest Ave
Ste 301
Portland, ME 04103
Phone (207) 797-5753
1250 Forest Ave
Portland, ME 04103
Phone (207) 797-5753
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600
175 US Route 1
Scarborough, ME 04074
Phone (207) 396-7700
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Interoperability endpoints
- froediger27285@direct.mmc.mainehealth.org
Organizations & group practices 7
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Scarborough, ME
- NPI 1447354899
-
- Critical Access Hospital
- Norway, ME
- NPI 1346299815
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Otolaryngology Physician
- Scarborough, ME
- NPI 1881908879
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
Hospital & facility affiliations 37
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
-
- Critical Access Hospital
- Norway, ME
- NPI 1346299815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1659409977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301C US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749701",
"telephone_number": "207-396-8600",
"fax_number": "207-396-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 FOREST AVE",
"address_2": "SUITE 301",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041031897",
"telephone_number": "207-797-5753",
"fax_number": "207-797-9571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEDIGER",
"first_name": "FREDERICK",
"middle_name": "CLAPP",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ME",
"license": "MD18047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW HAMPSHIRE MEDICAID",
"identifier": "30209197",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP PTAN",
"identifier": "P00759644",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1044199",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA146929",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433941099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.