Individual provider Active NPI

Marcus J Hampers, MD

  • Emergency Medicine Physician
  • Lebanon, NH
National Provider Identifier
1093743379
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9805 Issued in NH
Practice address
410 Miracle Mile
Lebanon, NH 03766-2639
Phone
(603) 276-3260
Fax
(603) 277-4044
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9805 NH Primary
Internal Medicine Physician 207R00000X 042.0009245 VT

Addresses

Primary practice location

410 Miracle Mile
Lebanon, NH 03766-2639

Mailing address

10 Ferry St Ste 302
Concord, NH 03301-5081
Phone (603) 526-4635

Other identifiers 3

IdentifierTypeStateIssuer
30009898MedicaidNH
0VN1293MedicaidVT
1093743379MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT, ME, MA, RI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040211000269 NH Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 8820982838 Reassigns benefits to 2 organizations
I20141105000177 VT Practitioner - Internal Medicine 8820982838 Reassigns benefits to 1 organization
I20150528000442 ME Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8820982838 Reassigns benefits to 1 organization
I20210415002871 MA Practitioner - Emergency Medicine 8820982838 Reassigns benefits to 3 organizations
I20221110002896 RI Practitioner - Critical Care (Intensivists) 8820982838 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9805NHMDEmergency Medicine Physician
042.0009245VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of Central Massachusetts, LLC CurrentSince Dec 29, 2022 Accepting new patients
Alliance Urgent Care Services, LLC CurrentSince Mar 1, 2019 Accepting new patients
Urgent Care Centers of Central Massachusetts, LLC CurrentSince Jun 1, 2021 Accepting new patients
Green Mountain Urgent Care LLC CurrentSince Mar 16, 2021 Accepting new patients
Carewell Urgent Care of Rhode Island, P.C. CurrentSince Oct 7, 2022 Accepting new patients
Carewell Urgent Care Centers of Ma, P.C CurrentSince Dec 29, 2022 Accepting new patients
Carewell Urgent Care Centers of Ma, PC CurrentSince Dec 29, 2022 Accepting new patients

Locations

380 John Fitch Hwy
Fitchburg, MA 01420
Phone (617) 302-4194

757 Boston Post Rd E
Marlborough, MA 01752
Phone (508) 630-8989

856 State Rd
North Adams, MA 01247
Phone (413) 727-8088

42 Washington St
Norwell, MA 02061
Phone (774) 253-3311

484 Route 134
South Dennis, MA 02660
Phone (508) 694-7901

10 Ferry St
Ste 302
Concord, NH 03301

558 Mast Rd
Goffstown, NH 03045
Phone (603) 232-1790

7 Cinemagic Way
Hooksett, NH 03106
Phone (603) 782-5112

74 Pleasant St
Ste 204
New London, NH 03257

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clearchoicemd, PLLCAlton, NH, CCN 303818 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee
May 28, 2015
May 25, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1093743379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FERRY ST STE 302",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015081",
            "telephone_number": "603-526-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MIRACLE MILE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662639",
            "telephone_number": "603-276-3260",
            "fax_number": "603-277-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPERS",
        "first_name": "MARCUS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "9805",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042.0009245",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009898",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1293",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093743379",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.