Individual provider Active NPI

Paul J Sorgi, MD

  • Geriatric Psychiatry Physician
  • Petoskey, MI
National Provider Identifier
1114092939
Registry record updated Apr 18, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Oct 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
049631 Issued in MA
Practice address
616 Petoskey St Ste 110
Petoskey, MI 49770-2779
Phone
(906) 440-3672
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 049631 MA Primary

Addresses

Primary practice location

616 Petoskey St Ste 110
Petoskey, MI 49770-2779

Mailing address

3316 Lakeshore Dr
Sault Sainte Marie, MI 49783-1112
Phone (978) 779-0569

Other identifiers 1

IdentifierTypeStateIssuer
J02338OtherMABCBS INDEMNITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049631MAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hallowell Center P. C. Past Accepting new patients
Sorgi Associates, PC Geriatric Psychiatry Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1114092939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 LAKESHORE DR",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831112",
            "telephone_number": "978-779-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 PETOSKEY ST STE 110",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702779",
            "telephone_number": "906-440-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORGI",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "049631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDEMNITY",
            "identifier": "J02338",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.