NPIMap

Individual provider Active NPI

Manish Nepal, MD

  • Nephrology Physician
  • Bangor, ME
National Provider Identifier
1982862751
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
018669 Issued in ME
Practice address
417 State St
Suite 321
Bangor, ME 04401-6630
Phone
(207) 973-8833
NPI assigned
May 29, 2008
Last updated
Sep 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 018669 ME Primary

Addresses

Primary practice location

417 State St
Suite 321
Bangor, ME 04401-6630

Mailing address

417 State St
Suite 321
Bangor, ME 04401-6630
Phone (207) 973-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110808000433 ME Practitioner - NephrologyPractitioner - Internal Medicine 3375712425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians
Northeast Nephrology PAGroup PAC ID 4981638434, 6 clinicians

Practice addresses (Care Compare)

155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174

417 State St
Suite 321
Bangor, ME 04401-6638
Phone (207) 973-8833

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018669MEMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Nephrology PA Nephrology CurrentSince Jul 1, 2011 Accepting new patients
Mercy Hospital CurrentSince Oct 22, 2023 Accepting new patients
Mercy Hospital CurrentSince Oct 22, 2023 Accepting new patients
Total Renal Care Inc PastSince Nov 1, 2012 Accepting new patients

Locations

417 State St
Ste 321
Bangor, ME 04401
Phone (207) 262-6051

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

11 Short St
Ellsworth, ME 04605
Phone (207) 667-9294

140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000

21 North St
Presque Isle, ME 04769
Phone (207) 768-5863

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Interoperability endpoints

  • Direct secure messaging: mnepal45462@direct.davitaphysiciansolutions.com

Organizations & group practices 4

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 9

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1982862751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "address_2": "SUITE 321",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-973-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "address_2": "SUITE 321",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-973-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPAL",
        "first_name": "MANISH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ME",
            "license": "018669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.