Individual provider Active NPI

Thomas P Clairmont Jr., MD

  • Internal Medicine Physician
  • Portsmouth, NH
National Provider Identifier
1053415794
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6279 Issued in NH
Practice address
330 Borthwick Ave
Suite 205
Portsmouth, NH 03801-4174
Phone
(603) 436-6115
Fax
(603) 433-5567
NPI assigned
Sep 12, 2006
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6279 NH Primary

Addresses

Primary practice location

330 Borthwick Ave
Suite 205
Portsmouth, NH 03801-4174

Mailing address

330 Borthwick Ave
Suite 205
Portsmouth, NH 03801-4174
Phone (603) 436-6115

Other identifiers 1

IdentifierTypeStateIssuer
3083599MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address THOMAS.CLAIRMONT@hca6.eclinicaldirectplus.com

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
I20100626000116 NH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7315836285

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Primary Care Asso Internal Medicine PastSince Jan 1, 2000 Accepting new patients
Portsmouth Internal Medicine Associates Internal Medicine PastSince Sep 1, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thomas.clairmont@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1053415794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE 205",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-436-6115",
            "fax_number": "603-433-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE 205",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-436-6115",
            "fax_number": "603-433-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIRMONT",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "6279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083599",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "THOMAS.CLAIRMONT@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "330 Borthwick Ave",
            "address_2": "SUITE 205",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038014174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.