NPIMap

Individual provider Active NPI

Marie Audett, MD

  • Colon & Rectal Surgery Physician
  • Portland, ME
National Provider Identifier
1891920823
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD25776 Issued in ME
Practice address
10 Andover Rd
Portland, ME 04102-1954
Phone
(207) 761-6642
NPI assigned
May 20, 2009
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X 35 124034 OH
Surgery Physician 208600000X MD25776 ME
Trauma Surgery Physician 2086S0127X 35.124034 OH
Colon & Rectal Surgery Physician 208C00000X MD25776 ME Primary

Addresses

Primary practice location

10 Andover Rd
Portland, ME 04102-1954

Mailing address

10 Andover Rd
Portland, ME 04102-1954
Phone (207) 761-6642

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mainehealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815000611 ME Practitioner - Colorectal Surgery (Proctology) 6406095801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Warren Alpert Medical School of Brown University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

55 Spring St
Scarborough, ME 04074-8926
Phone (207) 303-1000

84 Campus Dr
Scarborough, ME 04074-7133
Phone (207) 396-7000

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25776MEMDSurgery Physician
35 124034OHMDSurgery Physician
35.124034OHMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 11, 2022 Accepting new patients
Mainehealth CurrentSince Jul 11, 2022 Accepting new patients
Maine Medical Partners Surgery Current Accepting new patients
Maine Medical Partners Surgery CurrentSince Jul 11, 2022 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

10 Andover Rd
Portland, ME 04102
Phone (207) 761-6642

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

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

Interoperability endpoints

  • Direct secure messaging: maudett552201@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1891920823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ANDOVER RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021954",
            "telephone_number": "207-761-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ANDOVER RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021954",
            "telephone_number": "207-761-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDETT",
        "first_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35 124034",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD25776",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "OH",
            "license": "35.124034",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "ME",
            "license": "MD25776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mainehealth.org",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "10 Andover Rd",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041021954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.