Individual provider Active NPI

Bakhtier Nurmukhamedov, M.D.

  • Neurology Physician
  • Bangor, ME
National Provider Identifier
1538535596
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD23260 Issued in ME
Practice address
498 Essex St Ste 105
Bangor, ME 04401-3990
Phone
(207) 275-3421
NPI assigned
Aug 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD23260 ME Primary

Addresses

Primary practice location

498 Essex St Ste 105
Bangor, ME 04401-3990

Mailing address

498 Essex St Ste 105
Bangor, ME 04401-3990
Phone (207) 275-3421

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
I20200814001721 ME Practitioner - Neurology 7810234424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

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

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

33 Whiting Hill Rd
Brewer, ME 04412-1021
Phone (207) 973-7478

40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

905 Union St
Bangor, ME 04401-3039

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008
  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
60.7
Promoting interoperability
91
Improvement activities
40
Cost
73.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Jul 26, 2020 Accepting new patients
Eastern Maine Medical Center Multi-Specialty CurrentSince Jul 26, 2020 Accepting new patients
Mercy Hospital Multi-Specialty CurrentSince May 9, 2024 Accepting new patients
Mercy Hospital CurrentSince May 9, 2024 Accepting new patients

Locations

905 Union St
Ste 9
Bangor, ME 04401
Phone (207) 947-0558

489 State St
Ste A
Bangor, ME 04401

489 State St
Bangor, ME 04401
Phone (207) 973-8837

498 Essex St
Ste 105
Bangor, ME 04401
Phone (207) 947-0558

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

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

Organizations & group practices 4

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 3

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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1538535596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 ESSEX ST STE 105",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013990",
            "telephone_number": "207-275-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 ESSEX ST STE 105",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013990",
            "telephone_number": "207-275-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURMUKHAMEDOV",
        "first_name": "BAKHTIER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "MD23260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.