Michael Stephen Comisac III, DO
Individual provider Active NPI Family Medicine Physician · Berlin, NH
NPI 1053008367 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1053008367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- EL33986 (NH)
- Practice address
- 133 Pleasant St
Berlin, NH 03570-2006 - Phone
- (603) 752-2040
- NPI assigned
- Apr 18, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kootenai Health Inc
Practice addresses (Care Compare)
1919 Lincoln Way
Suite 315
Coeur D Alene, ID 83814-2527
Phone (208) 625-6000
Hospital & facility affiliations
- Kootenai Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250612004184 | ID | Practitioner - Family Practice | 7719341957 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Health, Inc. | Current |
Accepting new patients | |
| Kootenai Health, Inc. | Current |
Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients |
Locations
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
1919 Lincoln Way
Ste 315
Coeur D Alene, ID 83814
Phone (208) 625-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | EL33986 | NH | Yes |
Addresses
Primary practice location
133 Pleasant St
Berlin, NH 03570-2006
Mailing address
133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040
Other providers in Berlin, NH
- City of Berlin
- City of Berlin
- Brenda Sue Cole Bergeron
- Barbara Ellen Coman
- Donna L Comire
- Coos County Family Health Services
- Coos County Family Health Services, Inc
- Coos County Family Health Services, Inc
- Coos County Family Health Services, Inc.
- Coos County Nursing Home
All providers in Berlin, NH · Family Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.