Individual provider Active NPI

Enrique A Feoli, M.D.

  • Epilepsy Physician
  • Bangor, ME
National Provider Identifier
1629097852
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
25MA08706000 Issued in NJ
Practice address
498 Essex St
Suite 105
Bangor, ME 04401-3990
Phone
(207) 947-0558
Fax
(207) 947-0344
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 016111 ME
Epilepsy Physician 2084E0001X 25MA08706000 NJ Primary

Addresses

Primary practice location

498 Essex St
Suite 105
Bangor, ME 04401-3990

Mailing address

498 Essex St
Suite 105
Bangor, ME 04401-3990
Phone (207) 947-0558

Other identifiers 4

IdentifierTypeStateIssuer
305470099MedicaidME
3261081OtherMECIGNA
7212513OtherMEAETNA
060521OtherMEANTHEM BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100910001087 NJ Practitioner - EpileptologistsPractitioner - Neurology 7214921469 Reassigns benefits to 1 organization
I20240308000648 DC Practitioner - EpileptologistsPractitioner - Neurology 7214921469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Epileptologists
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epilepsy and Neurophysiology of Virginia PCGroup PAC ID 1658723150, 4 clinicians

Practice addresses (Care Compare)

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (914) 428-9213

20 Prospect Ave
Suite 800
Hackensack, NJ 07601-1974
Phone (201) 343-6676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epilepsy & Neurophysiology Medical Consultants, PA Neurology CurrentSince Jul 1, 2010 Accepting new patients
Epilepsy & Neurophysiology Medical Consultants PA Neurology Current Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Epilepsy and Neurophysiology of Virginia PC Neurology CurrentSince Jan 17, 2024 Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
Neurology Associates of Eastern Maine, P.a. Neurology Past Accepting new patients

Locations

20 Prospect Ave
Ste 800
Hackensack, NJ 07601
Phone (201) 343-6676

377 Jersey Ave
Ste 440
Jersey City, NJ 07302
Phone (201) 289-5551

200 S Orange Ave
Ste 275
Livingston, NJ 07039
Phone (732) 235-6333

310 Madison Ave
Ste 302
Morristown, NJ 07960
Phone (973) 695-8033

303 George St
Ste 420
New Brunswick, NJ 08901
Phone (732) 828-1373

2 Capital Way
Fl 2
Pennington, NJ 08534
Phone (908) 522-4990

333 Westchester Ave
Ste E104
White Plains, NY 10604
Phone (914) 428-9213

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: enrique.feoli@direct.christhospital.md

Organizations & group practices 6

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 7

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1629097852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 ESSEX ST",
            "address_2": "SUITE 105",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013990",
            "telephone_number": "207-947-0558",
            "fax_number": "207-947-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 ESSEX ST",
            "address_2": "SUITE 105",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013990",
            "telephone_number": "207-947-0558",
            "fax_number": "207-947-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEOLI",
        "first_name": "ENRIQUE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "016111",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NJ",
            "license": "25MA08706000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305470099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3261081",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7212513",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "060521",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.