NPIMap

Individual provider Active NPI

Wynn Htun, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Manchester, NH
National Provider Identifier
1053742452
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
23391 Issued in NH
Practice address
87 McGregor St
Manchester, NH 03102-3765
Phone
(603) 308-1467
NPI assigned
Dec 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 308529 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X LT4362 NH
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 23391 NH Primary

Addresses

Primary practice location

87 McGregor St
Manchester, NH 03102-3765

Mailing address

PO Box 810
Hanover, NH 03755-0810

Other practice location 1

38 E 32nd St Fl 9
New York, NY 10016-5563
Phone (212) 889-5529

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wynn.htun@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, NH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160622002338 PA Practitioner - EndocrinologyPractitioner - Internal Medicine 6406147420 Reassigns benefits to 1 organization
I20210623003087 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 6406147420 Reassigns benefits to 4 organizations
I20221115002381 NH Practitioner - Endocrinology 6406147420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500

253 Pleasant St
Concord, NH 03301-7560
Phone (603) 226-2200

87 McGregor St
Manchester, NH 03102-3765
Phone (603) 695-2500

Hospital & facility affiliations

  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • Concord Hospital Hospital, Concord, NH, CCN 300001

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
87.56 of 100Reported as group
Quality
71.97
Promoting interoperability
100
Improvement activities
40
Cost
75.04

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23391NHMDEndocrinology, Diabetes & Metabolism Physician
308529NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic CurrentSince Oct 21, 2022 Accepting new patients
Alliance Health Services Endocrinology, Diabetes & Metabolism CurrentSince Oct 31, 2022 Accepting new patients
Susquehanna Physician Services CurrentSince Sep 1, 2023 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Aug 1, 2023 Accepting new patients
Susquehanna Physician Services Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2023 Accepting new patients
Wyckoff Professional Medical Services, PC Endocrinology, Diabetes & Metabolism CurrentSince Jan 13, 2024 Accepting new patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 24, 2023 Accepting new patients
Dartmouth-Hitchcock Clinic Endocrinology, Diabetes & Metabolism CurrentSince Oct 21, 2022 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 24, 2023 Accepting new patients
Marcus Avenue Medical PC CurrentSince Jul 6, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 15, 2022 Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

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

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

87 McGregor St
Manchester, NH 03102
Phone (603) 629-1828

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

110 E 59th St
New York, NY 10022
Phone (212) 583-2800

38 E 32nd St
Fl 9
New York, NY 10016
Phone (212) 725-2660

232 E 30th St
New York, NY 10016
Phone (212) 447-1609

300 Community Dr
Plandome, NY 11030

725 E Adams St
Fl 5
Syracuse, NY 13210
Phone (315) 464-5726

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

Interoperability endpoints

  • Direct secure messaging: wynn.htun@335000925634564.direct.elationemr.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1053742452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037550810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023765",
            "telephone_number": "603-308-1467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 E 32nd St Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165563",
            "country_code": "US",
            "telephone_number": "212-889-5529",
            "fax_number": "212-725-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HTUN",
        "first_name": "WYNN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-10",
        "last_updated": "2024-08-09",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "308529",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NH",
            "license": "LT4362",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NH",
            "license": "23391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wynn.htun@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.