Individual provider Active NPI

Taraneh Azar, MD

  • Otolaryngology Physician
  • Portsmouth, NH
National Provider Identifier
1043289739
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
11236 Issued in NH
Practice address
14 Manchester SQ Ste 210
Portsmouth, NH 03801-7905
Phone
(207) 475-0100
NPI assigned
Mar 15, 2006
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD22343 ME
Otolaryngology Physician 207Y00000X 11236 NH Primary

Addresses

Primary practice location

14 Manchester SQ Ste 210
Portsmouth, NH 03801-7905

Mailing address

35 Walker St Ste 200
Kittery, ME 03904-1727
Phone (207) 475-0100

Other practice location 1

35 Walker St Ste 200
Kittery, ME 03904
Phone (207) 351-3525

Other identifiers 1

IdentifierTypeStateIssuer
3075199MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20060117001044 NH Practitioner - Otolaryngology 3577456086 Reassigns benefits to 1 organization
I20180912003312 ME Practitioner - Otolaryngology 3577456086 Reassigns benefits to 1 organization
I20220913002379 MA Practitioner - Otolaryngology 3577456086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Ear, Nose and Throat, LLCGroup PAC ID 1850344797, 11 clinicians

Practice addresses (Care Compare)

14 Manchester SQ
Suite 210
Portsmouth, NH 03801-7905
Phone (207) 475-0100

35 Walker St
Suite 200
Kittery, ME 03904-1727
Phone (207) 351-3525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision11
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Be Balanced, LLC CurrentSince Sep 11, 2022 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Family Ear, Nose & Throat, LLC Otolaryngology CurrentSince Aug 15, 2018 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 25, 2022 Accepting new patients

Locations

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

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

35 Walker St
#200
Kittery, ME 03904
Phone (207) 351-3525

15 Durham Rd
Dover, NH 03820
Phone (603) 537-1363

14 Manchester Sq
Ste 210
Portsmouth, NH 03801
Phone (207) 351-3525

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBHCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBHCDD/Endpoint/BBHCDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1043289739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WALKER ST STE 200",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041727",
            "telephone_number": "207-475-0100",
            "fax_number": "207-351-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MANCHESTER SQ STE 210",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017905",
            "telephone_number": "207-475-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Walker St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kittery",
            "state": "ME",
            "postal_code": "03904",
            "country_code": "US",
            "telephone_number": "207-351-3525",
            "fax_number": "207-351-3524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZAR",
        "first_name": "TARANEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "MD22343",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "11236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075199",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.