Individual provider Active NPI

Sarah Deery Stasulis, MD

  • Vascular Surgery Physician
  • Scarborough, ME
National Provider Identifier
1972863926
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD24705 Issued in ME
Practice address
92 Campus Dr Ste D
Scarborough, ME 04074-7229
Phone
(207) 662-8900
Fax
(207) 774-9388
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD24705 ME Primary
Surgery Physician 208600000X L-251382 MA
Surgery Physician 208600000X MD24705 ME

Addresses

Primary practice location

92 Campus Dr Ste D
Scarborough, ME 04074-7229

Mailing address

92 Campus Dr Ste D
Scarborough, ME 04074-7229
Phone (207) 662-8900

Other practice location 1

9 Healthcare Dr Ste 105
Biddeford, ME 04005-9445
Phone (207) 282-3666

Other practice location 2

9 Healthcare Dr Ste 105
Biddeford, ME 04005-9445
Phone (207) 282-3666

Other practice location 3

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

Other practice location 4

25A June St Ste 112
Sanford, ME 04073-2642
Phone (207) 282-3666

Other names 1

  • Sarah E Deery Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210821000253 ME Practitioner - General SurgeryPractitioner - Vascular Surgery 3476707563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Vanderbilt University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

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

9 Healthcare Dr
Biddeford, ME 04005-9449
Phone (207) 283-0998

92 Campus Dr
Scarborough, ME 04074-7229

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063
  • Memorial Hospital, the Hospital, North Conway, NH, CCN 301307

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
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-251382MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 30, 2021 Accepting new patients
Mainehealth CurrentSince Aug 30, 2021 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners Surgery CurrentSince Nov 20, 2021 Accepting new patients
Maine Medical Partners Surgery Current Accepting new patients

Locations

9 Healthcare Dr
Ste 105
Biddeford, ME 04005
Phone (207) 282-3666

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

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

25A June St
Ste 112
Sanford, ME 04073
Phone (207) 282-3666

92 Campus Dr
Fl 3
Scarborough, ME 04074
Phone (207) 797-5753

92 Campus Dr
Ste D
Scarborough, ME 04074
Phone (207) 662-6782

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: sdeery382574@direct.mmc.mainehealth.org

Organizations & group practices 5

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 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1972863926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR STE D",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747229",
            "telephone_number": "207-662-8900",
            "fax_number": "207-774-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR STE D",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747229",
            "telephone_number": "207-662-8900",
            "fax_number": "207-774-9388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Healthcare Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059445",
            "country_code": "US",
            "telephone_number": "207-282-3666",
            "fax_number": "207-294-3552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Healthcare Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059445",
            "country_code": "US",
            "telephone_number": "207-282-3666",
            "fax_number": "207-294-3552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-885-9905",
            "fax_number": "207-396-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25A June St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040732642",
            "country_code": "US",
            "telephone_number": "207-282-3666",
            "fax_number": "207-294-3552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STASULIS",
        "first_name": "SARAH",
        "middle_name": "DEERY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ME",
            "license": "MD24705",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "L-251382",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD24705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DEERY",
            "middle_name": "E",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.