Active NPI
Isac Bloch, M.D.
- Otolaryngology Physician
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 018304
- Practice address
- Mitzpe Netofa
DN
Galil Tachton, ISRAEL 15295
IL - Phone
- 01197246781581
- NPI assigned
- May 27, 2007
- Last updated
- Dec 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209610 | MA | MD | Otolaryngology Physician |
| 018304 | ME | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | 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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Otolaryngology Physician
- Springfield, MA
- NPI 1386685881
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.