Active NPI
John Sommer, MD
- Internal Medicine Physician
- Brunswick, ME
National Provider Identifier
1275732364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD18801
- Practice address
- 114 Bath Rd
Brunswick, ME 04011-2606 - Phone
- (207) 798-4400
- Fax
- (207) 798-4452
- NPI assigned
- Jul 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD18801 | ME | |
| Internal Medicine Physician | 207R00000X | MD18801 | ME | Primary |
Addresses
Primary practice location
114 Bath Rd
Brunswick, ME 04011-2606
Mailing address
PO Box 9746
Portland, ME 04104-5040
Phone (207) 791-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275732364 | Medicaid | ME |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.sommer.1@5857.direct.athenahealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Bath Rd
Brunswick, ME 04011-2606
Phone (207) 798-4400
Hospital & facility affiliations
- Mainehealth Chans Home Health and Hospice
- Chans Home Health & Hospice
- Mainehealth Mid Coast Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
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.
- Credentials
- Doctor of Medicine
Interoperability endpoints
- john.sommer.1@15948.direct.athenahealth.com
- john.sommer.1@5857.direct.athenahealth.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Portland, ME
- NPI 1366474611
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHANS Home Health & Hospice
- Community Based Hospice Care Agency
- Brunswick, ME
- NPI 1407906779
-
dba CHANS Home Health & Hospice
- Home Health Agency
- Brunswick, ME
- NPI 1609923747
-
dba MaineHealth Mid Coast Hospital
- General Acute Care Hospital
- Brunswick, ME
- NPI 1932164795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1275732364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9746",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041045040",
"telephone_number": "207-791-3888",
"fax_number": "207-828-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 BATH RD",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112606",
"telephone_number": "207-798-4400",
"fax_number": "207-798-4452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMMER",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "MD18801",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD18801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275732364",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.sommer.1@5857.direct.athenahealth.com",
"affiliation": "N",
"address_1": "114 Bath Rd",
"city": "Brunswick",
"state": "ME",
"country_code": "US",
"postal_code": "040112606",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.