Individual provider Active NPI

Michael Richard Epstein, MD

  • Pediatric Cardiology Physician
  • Bangor, ME
National Provider Identifier
1336234897
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
016001 Issued in ME
Practice address
417 State St
Bangor, ME 04401-6630
Phone
(207) 973-8885
Fax
(207) 973-8817
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 016001 ME Primary

Addresses

Primary practice location

417 State St
Bangor, ME 04401-6630

Mailing address

43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006

Other identifiers 1

IdentifierTypeStateIssuer
290750099MedicaidME

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
I20050614000644 ME Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 9739123449 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016001MEMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Hospital CurrentSince May 1, 2021 Accepting new patients
Central Maine Medical Center CurrentSince May 1, 2021 Accepting new patients
Central Maine Medical Center CurrentSince May 1, 2021 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Acadia Hospital Corp CurrentSince Dec 8, 2020 Accepting new patients
Bridgton Hospital CurrentSince Jan 6, 2022 Accepting new patients
Rumford Hospital CurrentSince May 1, 2021 Accepting new patients
Mainehealth CurrentSince Sep 1, 2013 Accepting new patients
Bridgton Hospital CurrentSince Jan 6, 2022 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients

Locations

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

887 Congress St
Ste 310
Portland, ME 04102
Phone (207) 773-2723

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

71 US Route 1
Ste C
Scarborough, ME 04074
Phone (207) 883-5532

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 11

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1336234897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD STE 300",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-973-8885",
            "fax_number": "207-973-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "ME",
            "license": "016001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290750099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.