Individual provider Active NPI

Stephen Ira Eskin, M.D.

  • Gastroenterology Physician
  • Bangor, ME
National Provider Identifier
1871515379
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD21763 Issued in ME
Practice address
360 Broadway Ste 100
Bangor, ME 04401-3900
Phone
(207) 907-3550
Fax
(207) 907-3562
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME93038 FL
Gastroenterology Physician 207RG0100X MD21763 ME Primary

Addresses

Primary practice location

360 Broadway Ste 100
Bangor, ME 04401-3900

Mailing address

PO Box 347544
Coral Gables, FL 33234-7544
Phone (305) 447-6987

Other practice location 1

2601 SW 37th Ave
Miami, FL 33133-2700
Phone (305) 447-6987

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address seskin624211@direct-prd.goodhelpconnections.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, ME2 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
I20170215000422 WI Practitioner - Gastroenterology 6800804162 Reassigns benefits to 1 organization
I20170926002085 ME Practitioner - Internal MedicinePractitioner - Gastroenterology 6800804162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

121 Medical Ctr Dr
Suite 3400
Brunswick, ME 04011-2675
Phone (207) 406-7300

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Upper gastrointestinal (GI) endoscopy for acid reflux19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Feb 12, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Feb 12, 2024 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Jun 14, 2022 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Tenet Florida Physician Services, LLC Past Accepting new patients
Mainehealth Past Accepting new patients
Holy Family Memorial Inc Past Accepting new patients
Tenet Florida Physician Services LLC Gastroenterology PastSince Aug 23, 2020 Accepting new patients

Locations

121 Medical Center Dr
Ste 3400
Brunswick, ME 04011
Phone (207) 406-7300

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

Interoperability endpoints

  • Direct secure messaging: seskin669185@direct.mmc.mainehealth.org

Organizations & group practices 9

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 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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1871515379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347544",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "332347544",
            "telephone_number": "305-447-6987",
            "fax_number": "305-447-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BROADWAY STE 100",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013900",
            "telephone_number": "207-907-3550",
            "fax_number": "207-907-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 SW 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331332700",
            "country_code": "US",
            "telephone_number": "305-447-6987",
            "fax_number": "305-447-6989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESKIN",
        "first_name": "STEPHEN",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME93038",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "MD21763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seskin624211@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "360 Broadway Ste 100",
            "city": "Bangor",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044013900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.