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NORTHEAST NEPHROLOGY PA
NPI 1336145200
Internal Medicine - Nephrology in Bangor, ME

Active since June 24, 2005CLIA 20D0089363 · Microscopy
417 STATE ST, STE 321, BANGOR, ME 04401(207) 973-8833(207) 973-8836 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Nephrology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST NEPHROLOGY PA (NPI 1336145200) is a healthcare organization registered as a nephrology in Bangor, Maine and active in the NPI registry since June 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Stephen G Comeau, President, as its authorized official.

NPPES Registry Identity

NPI1336145200
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTHEAST NEPHROLOGY PA
Location Address417 STATE ST, STE 321Bangor, ME 04401-6638
Mailing Address417 State St, Ste 321Bangor, ME 04401-6638 · (207) 973-8833 · Fax (207) 973-8836
Phone(207) 973-8833
Fax(207) 973-8836
Organization SubpartNo
Authorized OfficialStephen G ComeauPresident · (207) 973-8833
Enumeration DateJune 24, 2005
Last NPPES UpdateMay 4, 2010
✔ NPI 1336145200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
417 STATE ST, Bangor, ME 04401
Open in Google Maps ↗

Other Identifiers 2

Medicare PINMM7506ME
Medicaid132020000ME

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 20D0089363

Northeast Nephrology PA · Bangor, ME
Active · expires Aug 31, 2026
CLIA Number20D0089363
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStephen Comeau
Laboratory Phone(207) 973-8833
Laboratory LocationNortheast Nephrology PA417 State St, Bangor, ME 04401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDA GAIL QUERRY D.O.
Obstetrics & Gynecology
417 STATE ST, WEBBER WEST, SUITE 141
BANGOR, ME 04401
Penobscot County (207) 973-4670
MURRAY DANA LEBOWITZ M.D.
Obstetrics & Gynecology
417 STATE ST, WEBBER WEST SUITE 141
BANGOR, ME 04401
Penobscot County (207) 973-4670
CHUNG HO SHUM M.D., PH.D.
Pathology (Anatomic Pathology & Clinical Pathology)
417 STATE ST, WEBBER WEST 541
BANGOR, ME 04401
Penobscot County (207) 941-8200
MS. ERIKA LYNN BAILEY RPH
Pharmacist
417 STATE ST, SUITE 130
BANGOR, ME 04401
Penobscot County (207) 973-8888
TIMOTHY UNGER
Orthopaedic Surgery (Orthopaedic Trauma)
417 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-4949
KOBE MALIK HAMBY PA-C
Physician Assistant
417 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-9949
THOMAS RAJAN MD
Internal Medicine (Pulmonary Disease)
417 STATE ST, STE 400
BANGOR, ME 04401
Penobscot County (207) 973-8852
DR. FLAVIAN MARK LUPINETTI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
417 STATE ST, SUITE 421
BANGOR, ME 04401
Penobscot County (207) 973-5293

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Nephrology PA's NPI number?

The NPI number for Northeast Nephrology PA is 1336145200. It was assigned to this organization in the NPPES registry on June 24, 2005.

Where is Northeast Nephrology PA located?

Northeast Nephrology PA is located at 417 State St Ste 321, Bangor, ME 04401. The listed phone number is (207) 973-8833.

What is Northeast Nephrology PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Northeast Nephrology PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 20D0089363) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Nephrology PA accept?

Health plans from Anthem Blue Cross and Blue Shield list Northeast Nephrology PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Nephrology PA was last updated on May 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.