Individual provider Active NPI

Vibhor Wadhwa, MBBS

  • Vascular & Interventional Radiology Physician
  • Bedford, NH
National Provider Identifier
1013390145
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
22968 Issued in NH
Practice address
703 Riverway PL
Bedford, NH 03110-6768
Phone
(603) 627-1661
Fax
(603) 669-6944
NPI assigned
Jul 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X 22968 NH Primary
Diagnostic Radiology Physician 2085R0202X 22968 NH

Addresses

Primary practice location

703 Riverway PL
Bedford, NH 03110-6768

Mailing address

703 Riverway PL # 1025
Bedford, NH 03110-6768
Phone (603) 627-1661

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
I20221205000812 NH Practitioner - Diagnostic Radiology 4284940545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New Hampshire Radiology Consultants PCGroup PAC ID 2769436088, 39 clinicians

Practice addresses (Care Compare)

703 Riverway PL
Bedford, NH 03110-6768
Phone (603) 627-1661

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Weeks Medical Center Hospital, Lancaster, NH, CCN 301303

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern New Hampshire Radiology Consultants PC Diagnostic Radiology CurrentSince Sep 19, 2022 Accepting new patients

Locations

11 Washington Pl
Bedford, NH 03110
Phone (603) 622-3670

703 Riverway Pl
Bedford, NH 03110
Phone (603) 668-7096

703 Riverway Pl
#1025
Bedford, NH 03110

4 Hawthorne Dr
Bedford, NH 03110
Phone (603) 472-8888

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

101 Boulder Point Dr
Ste 1
Plymouth, NH 03264
Phone (603) 238-3537

Organizations & group practices 1

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1013390145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 RIVERWAY PL # 1025",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106768",
            "telephone_number": "603-627-1661",
            "fax_number": "603-669-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106768",
            "telephone_number": "603-627-1661",
            "fax_number": "603-669-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADHWA",
        "first_name": "VIBHOR",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NH",
            "license": "22968",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "22968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.