Active NPI
Mahendra Singh Panesar, M.D.
- Pediatrics Physician
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 013589
- Practice address
- Pediatric Health Associates
275 Mammoth Road, Suite 1
Manchester, NH 03109 - Phone
- (603) 663-8350
- Fax
- (603) 663-8399
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 013589 | ME | Primary |
| Pediatrics Physician | 208000000X | 13509 | NH |
Addresses
Primary practice location
Pediatric Health Associates
275 Mammoth Road, Suite 1
Manchester, NH 03109
Mailing address
Pediatric Health Associates
275 Mammoth Road, Suite 1
Manchester, NH 03109
Phone (603) 663-8350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13509 | Other | NH | NH LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013589 | ME | MD | Pediatrics Physician |
| 13509 | NH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Physicians Network | Pediatrics | Current | Accepting new patients |
Locations
4 Elliot Way
Ste 105
Manchester, NH 03103
Phone (603) 626-5113
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
275 Mammoth Rd
Manchester, NH 03109
Phone (603) 663-8300
275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222
Organizations & group practices 1
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": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193443200000",
"number": "1104894708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PEDIATRIC HEALTH ASSOCIATES",
"address_2": "275 MAMMOTH ROAD, SUITE 1",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03109",
"telephone_number": "603-663-8350",
"fax_number": "603-663-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PEDIATRIC HEALTH ASSOCIATES",
"address_2": "275 MAMMOTH ROAD, SUITE 1",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03109",
"telephone_number": "603-663-8350",
"fax_number": "603-663-8399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANESAR",
"first_name": "MAHENDRA",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2007-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "013589",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NH",
"license": "13509",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH LICENSE",
"identifier": "13509",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.