NPIMap

Individual provider Active NPI

Mihail Ion Soare, M.D.

  • Nephrology Physician
  • Bangor, ME
National Provider Identifier
1194906859
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
018782 Issued in ME
Practice address
417 State St
Suite 321
Bangor, ME 04401-6630
Phone
(207) 262-6051
NPI assigned
Nov 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 018782 ME Primary

Addresses

Primary practice location

417 State St
Suite 321
Bangor, ME 04401-6630

Mailing address

417 State St
Suite 321
Bangor, ME 04401-6630
Phone (207) 973-8833

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
I20110808000461 ME Practitioner - NephrologyPractitioner - Internal Medicine 9537338587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Nephrology PAGroup PAC ID 4981638434, 6 clinicians

Practice addresses (Care Compare)

417 State St
Suite 321
Bangor, ME 04401-6638
Phone (207) 973-8833

Hospital & facility affiliations

  • FMC - Sunrise County Dialysis Dialysis facility, Eastport, ME, CCN 202510
  • Northern Light Dialysis Dialysis facility, Presque Isle, ME, CCN 203501
  • DaVita Eastern Maine Dialysis Dialysis facility, Ellsworth, ME, CCN 202514
  • DaVita Boyd Dialysis Dialysis facility, Bangor, ME, CCN 202512
  • DaVita Brewer Dialysis Dialysis facility, Brewer, ME, CCN 202517
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
  • Cary Medical Center Hospital, Caribou, ME, CCN 200031
  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018782MEMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital CurrentSince Oct 22, 2023 Accepting new patients
Mercy Hospital CurrentSince Oct 22, 2023 Accepting new patients
Northeast Nephrology PA Nephrology CurrentSince Jul 25, 2011 Accepting new patients

Locations

417 State St
Ste 321
Bangor, ME 04401
Phone (207) 262-6051

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

11 Short St
Ellsworth, ME 04605
Phone (207) 667-9294

21 North St
Presque Isle, ME 04769
Phone (207) 768-5863

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Interoperability endpoints

  • Direct secure messaging: msoare45463@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1194906859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "address_2": "SUITE 321",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-973-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "address_2": "SUITE 321",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-262-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARE",
        "first_name": "MIHAIL",
        "middle_name": "ION",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ME",
            "license": "018782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.