Individual provider Active NPI

Soren Craig-Muller, M.D.

  • Dermatology Physician
  • Portland, ME
National Provider Identifier
1205214798
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD23903 Issued in ME
Practice address
50 Sewall St Ste 302
Portland, ME 04102-2691
Phone
(207) 775-3526
Fax
(207) 775-5658
NPI assigned
May 15, 2015
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X MD23903 ME Primary

Addresses

Primary practice location

50 Sewall St Ste 302
Portland, ME 04102-2691

Mailing address

50 Sewall St Ste 302
Portland, ME 04102-2691
Phone (207) 775-3526

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
I20200825003191 ME Practitioner - Dermatology 3678878287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates, LLCGroup PAC ID 4587698279, 21 clinicians

Practice addresses (Care Compare)

2 Admiral Fitch Ave
Brunswick, ME 04011-2995
Phone (207) 725-5197

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
Melanoma (skin cancer) excision12
Removal of skin lesions1237
Removal or shaving of skin growth1-10
Skin biopsy728

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD23903MEMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates, LLC Dermatology CurrentSince Sep 1, 2020 Accepting new patients

Locations

57 Barra Rd
Biddeford, ME 04005
Phone (207) 282-1305

2 Admiral Fitch Ave
Brunswick, ME 04011
Phone (207) 200-5907

2 Admiral Fitch Ave
Ste B
Brunswick, ME 04011

50 Sewall St
Portland, ME 04102
Phone (207) 775-3526

50 Sewall St
Ste 302
Portland, ME 04102
Phone (207) 775-3526

Interoperability endpoints

  • Direct secure messaging: soren.craigmuller@dermassoc.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1205214798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST STE 302",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022691",
            "telephone_number": "207-775-3526",
            "fax_number": "207-775-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST STE 302",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022691",
            "telephone_number": "207-775-3526",
            "fax_number": "207-775-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG-MULLER",
        "first_name": "SOREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "MD23903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.