Individual provider Active NPI

Marc J Michaud, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Manchester, NH
National Provider Identifier
1063491702
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
12269 Issued in NH
Practice address
700 Lake Ave
Suite One
Manchester, NH 03103-2734
Phone
(603) 669-5454
Fax
(603) 641-0360
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 31401 AZ
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 12269 NH Primary

Addresses

Primary practice location

700 Lake Ave
Suite One
Manchester, NH 03103-2734

Mailing address

17 Riverside St
Suite 101
Nashua, NH 03062-1304
Phone (603) 883-0091

Other identifiers 1

IdentifierTypeStateIssuer
30204355MedicaidNH

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
I20040810000657 NH Practitioner - Orthopedic Surgery 1456254713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17 Riverside St
Suite 101
Nashua, NH 03062-1383
Phone (603) 883-0091

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.37 of 100Reported as group
Quality
56.5
Promoting interoperability
86
Improvement activities
40
Cost
73.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31401AZMDOrthopaedic Foot and Ankle Surgery Physician
12269NHMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC Foot and Ankle Surgery CurrentSince Mar 1, 2024 Accepting new patients
New Hampshire Orthopaedic Surgery, PA Past Accepting new patients

Locations

9 Washington Pl
Ste 101
Bedford, NH 03110
Phone (603) 669-5454

41 Buttrick Rd
Londonderry, NH 03053
Phone (603) 422-8693

17 Riverside St
Ste 101
Nashua, NH 03062
Phone (603) 689-1690

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

Interoperability endpoints

  • Direct secure messaging: marc.michaud.p1@direct.nhoc.nextgenshare.com

Organizations & group practices 3

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 4

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1063491702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST",
            "address_2": "SUITE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621304",
            "telephone_number": "603-883-0091",
            "fax_number": "603-881-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAKE AVE",
            "address_2": "SUITE ONE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032734",
            "telephone_number": "603-669-5454",
            "fax_number": "603-641-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "MARC",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "AZ",
            "license": "31401",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NH",
            "license": "12269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204355",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.