Individual provider Active NPI

Isac Bloch, M.D.

  • Otolaryngology Physician
National Provider Identifier
1619188802
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
018304 Issued in ME
Practice address
Mitzpe Netofa
DN
Galil Tachton, ISRAEL 15295
IL
Phone
01197246781581
NPI assigned
May 27, 2007
Last updated
Dec 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 209610 MA
Otolaryngology Physician 207Y00000X 018304 ME Primary

Addresses

Primary practice location

Mitzpe Netofa
DN
Galil Tachton, ISRAEL 15295
IL

Mailing address

Mitzpe Netofa
DN
Galil Tachton, ISRAEL 15295
IL
Phone 01197246781581

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
I20100209000201 ME Practitioner - Otolaryngology 7416090774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rush Medical College of Rush University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

417 State St
Suite 20
Bangor, ME 04401-6637
Phone (207) 275-1500

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

885 Union St
Suite 145
Bangor, ME 04401-3073
Phone (207) 973-9595

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209610MAMDOtolaryngology Physician
018304MEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Jan 6, 2010 Accepting new patients
Eastern Maine Medical Center CurrentSince Jan 6, 2010 Accepting new patients
Ear, Nose & Throat Surgeons of Western New England, LLC Otolaryngology Past Accepting new patients

Locations

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

885 Union St
Ste 145
Bangor, ME 04401
Phone (207) 945-4474

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1180224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1619188802",
    "addresses": [
        {
            "country_code": "IL",
            "country_name": "Israel",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "MITZPE NETOFA",
            "address_2": "DN",
            "city": "GALIL TACHTON",
            "state": "ISRAEL",
            "postal_code": "15295",
            "telephone_number": "01197246781581"
        },
        {
            "country_code": "IL",
            "country_name": "Israel",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "MITZPE NETOFA",
            "address_2": "DN",
            "city": "GALIL TACHTON",
            "state": "ISRAEL",
            "postal_code": "15295",
            "telephone_number": "01197246781581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "ISAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-27",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "209610",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "018304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.