Individual provider Active NPI

Derek T Jurus, D.O.

  • Obstetrics & Gynecology Physician
  • Nashua, NH
National Provider Identifier
1053571414
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17171 Issued in NH
Practice address
10 Prospect St
Nashua, NH 03060-3922
Phone
(603) 577-3131
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H0075851 MD
Obstetrics & Gynecology Physician 207V00000X 17171 NH Primary

Addresses

Primary practice location

10 Prospect St
Nashua, NH 03060-3922

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 695-2900

Other identifiers 3

IdentifierTypeStateIssuer
119591300MedicaidMD
1026016MedicaidVT
3101765MedicaidNH

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
I20150915001926 NH Practitioner - Obstetrics/Gynecology 5395992663 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600

10 Prospect St
Nashua, NH 03060-3922

8 Prospect St
Nashua, NH 03060-3925
Phone (603) 577-2045

8 Prospect St N
Nashua, NH 03060-3925

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0075851MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic Obstetrics & Gynecology CurrentSince Aug 17, 2015 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Feb 1, 2023 Accepting new patients
Foundation Medical Partners Inc Obstetrics & Gynecology CurrentSince Feb 1, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince May 6, 2017 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 9, 2019 Accepting new patients
Cheshire Medical Center Obstetrics & Gynecology CurrentSince Feb 9, 2019 Accepting new patients
Cheshire Medical Center Current Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince May 6, 2017 Accepting new patients
Catholic Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Dartmouth-Hitchcock Clinic Obstetrics & Gynecology CurrentSince Aug 17, 2015 Accepting new patients
Catholic Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Southern New Hampshire Medical Center Past Accepting new patients

Locations

5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

580 Court St
Keene, NH 03431
Phone (603) 354-5454

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

88 McGregor St
Ste 204
Manchester, NH 03102
Phone (603) 663-6661

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

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

10 Prospect St
Nashua, NH 03060
Phone (603) 578-9909

10 Prospect St
Ste 303
Nashua, NH 03060
Phone (603) 577-2045

22 Cotton Rd
Nashua, NH 03063
Phone (603) 899-6147

2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170

Interoperability endpoints

  • FHIR API: https://epicproxyprd.solutionhealth.org/FHIR_PRD/MYCHART/api/FHIR/R4
  • Direct secure messaging: djurus179538@direct.dartmouth-hitchcock.org

Organizations & group practices 12

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 1

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1053571414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-695-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603922",
            "telephone_number": "603-577-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURUS",
        "first_name": "DEREK",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "H0075851",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "17171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026016",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101765",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.