Individual provider Active NPI

Samuel Jacob Michel, MD

  • Surgery Physician
  • Portland, ME
National Provider Identifier
1427397462
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
61021035 Issued in WA
Practice address
84 Marginal Way Ste 900
Portland, ME 04101-2476
Phone
(207) 347-2683
NPI assigned
Feb 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 61021035 WA Primary

Addresses

Primary practice location

84 Marginal Way Ste 900
Portland, ME 04101-2476

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900
Phone (207) 347-2947

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
I20250508003307 ME Practitioner - General Surgery 4183937956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians
Intermed PAGroup PAC ID 5092605261, 185 clinicians

Practice addresses (Care Compare)

155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

84 Marginal Way
Portland, ME 04101-2443
Phone (207) 774-5816

Hospital & facility affiliations

  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as individual
Quality
63.73
Promoting interoperability
96
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)15
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61021035WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermed, PA CurrentSince Apr 15, 2025 Accepting new patients
Intermed, PA CurrentSince Oct 21, 2025 Accepting new patients
Intermed, PA CurrentSince Apr 15, 2025 Accepting new patients
Mercy Hospital CurrentSince Apr 13, 2025 Accepting new patients
Mercy Hospital CurrentSince Apr 13, 2025 Accepting new patients
Mercy Hospital Current Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Jefferson County Public Hospital District No 2 PastSince Aug 1, 2020 Accepting new patients

Locations

84 Marginal Way
Ste 900
Portland, ME 04101
Phone (207) 780-8860

195 Fore River Pkwy
Ste 210
Portland, ME 04102
Phone (207) 535-1150

84 Marginal Way
Portland, ME 04101
Phone (207) 774-5816

195 Fore River Pkwy
Ste 2
Portland, ME 04102

175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105

100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122

300 Southborough Dr
Ste 120
South Portland, ME 04106
Phone (207) 523-3959

100 Foden Rd
Ste W-100
South Portland, ME 04106
Phone (207) 523-3900

100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649

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

Interoperability endpoints

  • Direct secure messaging: samuel.michel.1@9971.direct.athenahealth.com

Organizations & group practices 8

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 2

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": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1427397462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GANNETT DR STE C",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065900",
            "telephone_number": "207-347-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MARGINAL WAY STE 900",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012476",
            "telephone_number": "207-347-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "SAMUEL",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-12",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "61021035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.