Individual provider Active NPI

Shawn M Rayder, MD

  • Diagnostic Radiology Physician
  • Rochester, NH
National Provider Identifier
1013907609
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13326 Issued in NH
Practice address
7 Dreyer Way
Rochester, NH 03867-2775
Phone
(603) 332-6413
Fax
(603) 335-1076
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 59774 MA
Diagnostic Radiology Physician 2085R0202X 13326 NH Primary

Addresses

Primary practice location

7 Dreyer Way
Rochester, NH 03867-2775

Mailing address

7 Dreyer Way
Rochester, NH 03867-2775
Phone (603) 332-6413

Other identifiers 1

IdentifierTypeStateIssuer
30010736MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060804000338 NH Practitioner - Diagnostic Radiology 7911942271 Reassigns benefits to 2 organizations
I20060906000373 MA Practitioner - Diagnostic Radiology 7911942271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59774MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologists of Cape Cod Hospital Diagnostic Radiology CurrentSince Feb 15, 2023 Accepting new patients
Seacoast Radiology, PA Diagnostic Radiology CurrentSince Jun 1, 2006 Accepting new patients
Physicians of Cape Cod Hospital Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Newton Wellesley Radiology Assoc Diagnostic Radiology Past Accepting new patients
Cape Cod Healthcare, Inc Past Accepting new patients

Locations

525 Long Pond Dr
Ste 700
Harwich, MA 02645
Phone (508) 432-4100

525 Long Pond Dr
Ste 200
Harwich, MA 02645
Phone (508) 432-4100

35 Wilkens Ln
Hyannis, MA 02601
Phone (508) 862-5000

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

1220 Iyannough Rd
Hyannis, MA 02601
Phone (508) 862-7900

2 Washington St
Ste 329
Dover, NH 03820

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

7 Dreyer Way
Rochester, NH 03867
Phone (603) 332-6413

Organizations & group practices 5

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 2

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1013907609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DREYER WAY",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038672775",
            "telephone_number": "603-332-6413",
            "fax_number": "603-335-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DREYER WAY",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038672775",
            "telephone_number": "603-332-6413",
            "fax_number": "603-335-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYDER",
        "first_name": "SHAWN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "59774",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "13326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010736",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.