Individual provider Active NPI

Erik Sommers

  • Surgical Physician Assistant
  • Niantic, CT
National Provider Identifier
1609301647
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
11 Industrial Park Road
Niantic, CT 06357-1807
Phone
(860) 889-7345
NPI assigned
Apr 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

11 Industrial Park Road
Niantic, CT 06357-1807

Mailing address

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 885-7223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901002193 CT Practitioner - Physician Assistant 8426321035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians
Norwich Orthopedic Group PCGroup PAC ID 6709820798, 48 clinicians

Practice addresses (Care Compare)

37 S Broad St
Unit 12
Pawcatuck, CT 06379-7909
Phone (860) 495-1919

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345

Hospital & facility affiliations

  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024

Merit-based Incentive Payment System (MIPS)

Final score
87.95 of 100Reported as group
Quality
83.12
Improvement activities
40
Cost
84.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norwich Orthopedic Group, P.C. CurrentSince Sep 1, 2017 Accepting new patients
Norwich Orthopedic Group, P.C. CurrentSince Sep 1, 2017 Accepting new patients

Locations

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

11 Industrial Park Rd
Niantic, CT 06357
Phone (860) 391-9397

82 New Park Ave
North Franklin, CT 06254
Phone (860) 889-7345

140 Cross Rd
Waterford, CT 06385
Phone (860) 701-0140

Organizations & group practices 2

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 5

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1609301647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-885-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 INDUSTRIAL PARK ROAD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571807",
            "telephone_number": "860-889-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERS",
        "first_name": "ERIK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niantic, CT

Sources for this page

Verify at the official NPI Registry.