Individual provider Active NPI

Samuel W Trotzky, MD

  • Emergency Medicine Physician
  • Portsmouth, NH
National Provider Identifier
1033285127
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10847 Issued in NH
Practice address
333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone
(603) 433-4012
Fax
(603) 433-5184
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 10847 NH Primary

Addresses

Primary practice location

333 Borthwick Ave
Portsmouth, NH 03801-7128

Mailing address

333 Borthwick Ave
Emergency Dept
Portsmouth, NH 03801-7128
Phone (603) 433-4012

Other identifiers 10

IdentifierTypeStateIssuer
01Y002331NH02OtherNHANTHEM
258580099MedicaidME
0112780MedicaidMA
AA137936OtherNHHARVARD PILGRIM (SEACOAST)
930098183OtherRAILROAD MEDICARE
AA79577OtherHARVARD PILGRIM
P00697977OtherNHRAILROAD MEDICARE - SEACOAST
1033285127OtherNHANTHEM BCBS NH
30200706MedicaidNH
AA203136OtherNHHARVARD

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
I20051024000685 NH Practitioner - Emergency Medicine 5092731562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 868-8507

701 Central Ave
Dover, NH 03820-3403
Phone (603) 609-6700

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.72 of 100Reported as individual
Quality
93.25
Improvement activities
0
Cost
79.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10847NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocumed LLC Emergency Medicine CurrentSince Sep 2, 2024 Accepting new patients
Emergency Medicine Services of NH, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Seacoast Emergency Physicians PC Emergency Medicine CurrentSince May 1, 2000 Accepting new patients
Seacoast Emergency Physicians, PC CurrentSince May 1, 2000 Accepting new patients
Portsmouth Emergency Physicians PC Past Accepting new patients
Exeter Emergency Physicians PA Past Accepting new patients
Silver Spring Emergency Physicians, P.C. Emergency Medicine Past Accepting new patients

Locations

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

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

701 Central Ave
Dover, NH 03820
Phone (603) 609-6700

10 Central Ave
Dover, NH 03820
Phone (603) 740-1500

65 Calef Hwy
Lee, NH 03861
Phone (603) 740-2250

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

31 Stiles Rd
Ste 1100
Salem, NH 03079
Phone (603) 890-2727

603 Lafayette Rd
Seabrook, NH 03874
Phone (603) 474-6400

Organizations & group practices 7

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1033285127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE",
            "address_2": "EMERGENCY DEPT",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-433-4012",
            "fax_number": "603-433-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-433-4012",
            "fax_number": "603-433-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTZKY",
        "first_name": "SAMUEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "10847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "01Y002331NH02",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258580099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112780",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM (SEACOAST)",
            "identifier": "AA137936",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930098183",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA79577",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - SEACOAST",
            "identifier": "P00697977",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS NH",
            "identifier": "1033285127",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200706",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "AA203136",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.