Individual provider Active NPI

Brian Todd McKinley, M.D.

  • Rheumatology Physician
  • Dover, NH
National Provider Identifier
1003856659
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
33133 Issued in NH
Practice address
10 Members Way Ste 403
Dover, NH 03820-5933
Phone
(603) 742-6664
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 21360 NE
Rheumatology Physician 207RR0500X ME 97774 FL
Rheumatology Physician 207RR0500X 33133 NH Primary

Addresses

Primary practice location

10 Members Way Ste 403
Dover, NH 03820-5933

Mailing address

PO Box 412503
Boston, MA 02241-2503
Phone (617) 643-8315

Other practice location 1

315 75th St W
Bradenton, FL 34209-3201
Phone (941) 792-8329

Other identifiers 3

IdentifierTypeStateIssuer
82147OtherFLBCBS
P00451169OtherFLRAIL ROAD
281326200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BRIAN.MCKINLEY@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240814002911 NH Practitioner - Rheumatology 4688768153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Members Way
403 Seacoast Arthritis and Osteoporosis
Dover, NH 03820-5933
Phone (603) 742-6664

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 97774FLMDRheumatology Physician
21360NEMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Sep 16, 2024 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Sep 16, 2024 Accepting new patients
Wentworth Douglass Physician Corporation Rheumatology Current Accepting new patients
Pinnacle Physician Network, LLC Past Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

10 Members Way
Ste 403
Dover, NH 03820
Phone (603) 742-6664

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

67 Corporate Dr
Bldg A
Portsmouth, NH 03801
Phone (603) 431-5529

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/huggins-a7105e09
  • Direct secure messaging: mckinley.brian.wdh@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: brian.mckinley@hca4.eclinicaldirectplus.com

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 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1003856659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412503",
            "telephone_number": "617-643-8315",
            "fax_number": "941-761-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY STE 403",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-742-6664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 75th St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342093201",
            "country_code": "US",
            "telephone_number": "941-792-8329",
            "fax_number": "941-761-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "BRIAN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NE",
            "license": "21360",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME 97774",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NH",
            "license": "33133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82147",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P00451169",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281326200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRIAN.MCKINLEY@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "315 75th St W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342093201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.