Active NPI
Erik J. Kobylarz, MD, PHD
- Clinical Neurophysiology Physician
- Lebanon, NH
National Provider Identifier
1003903188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 14967
- Practice address
- One Medical Center Drive
Dept. of Neurology, Dartmouth-Hitchcock Medical Center
Lebanon, NH 03756-0001 - Phone
- (603) 653-6118
- Fax
- (603) 650-6233
- NPI assigned
- Oct 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | 14967 | NH | |
| Clinical Neurophysiology Physician | 2084N0600X | 14967 | NH | Primary |
| Neurology Physician | 2084N0400X | 14967 | NH |
Addresses
Primary practice location
One Medical Center Drive
Dept. of Neurology, Dartmouth-Hitchcock Medical Center
Lebanon, NH 03756-0001
Mailing address
One Medical Center Drive
Dept. of Neurology, Dartmouth-Hitchcock Medical Center
Lebanon, NH 03756-0001
Phone (603) 653-6118
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02276933 | Medicaid | NY | |
| 1017924 | Medicaid | VT | |
| 30209789 | Medicaid | NH |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Weill Medical College of Cornell | Neurology | Past | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
Interoperability endpoints
- ekobylarz14102@direct.dartmouth-hitchcock.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Neurology Physician
- New York, NY
- NPI 1174634406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1003903188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER DRIVE",
"address_2": "DEPT. OF NEUROLOGY, DARTMOUTH-HITCHCOCK MEDICAL CENTER",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-653-6118",
"fax_number": "603-650-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER DRIVE",
"address_2": "DEPT. OF NEUROLOGY, DARTMOUTH-HITCHCOCK MEDICAL CENTER",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-653-6118",
"fax_number": "603-650-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBYLARZ",
"first_name": "ERIK",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "NH",
"license": "14967",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NH",
"license": "14967",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NH",
"license": "14967",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02276933",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017924",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30209789",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.