Individual provider Active NPI

Thomas P. Lyng, MD

  • Hospitalist Physician
  • Rochester, NH
National Provider Identifier
1104991652
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
FS0376877 Issued in NH
Practice address
11 Whitehall Rd
Rochester, NH 03867-3226
Phone
(603) 330-7905
Fax
(603) 330-7906
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11326 NH
Hospitalist Physician 208M00000X FS0376877 NH Primary

Addresses

Primary practice location

11 Whitehall Rd
Rochester, NH 03867-3226

Mailing address

11 Whitehall Rd
FMH Hospitalist Service
Rochester, NH 03867
Phone (603) 330-7905

Other practice location 1

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2503

Other identifiers 2

IdentifierTypeStateIssuer
3077623MedicaidNH
11326OtherNHSTATE LICENSE NUMBER

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
I20040902000378 NH Practitioner - Internal Medicine 4183690084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wentworth Douglass Physician CorporationGroup PAC ID 5496749848, 429 clinicians

Practice addresses (Care Compare)

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2503

Hospital & facility affiliations

  • Wentworth Home Care & Hospice, an Amedisys Partner Hospice, Somersworth, NH, CCN 301512
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11326NHMDInternal Medicine Physician
FS0376877NHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Jul 1, 2019 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation Hospitalist CurrentSince Jul 1, 2019 Accepting new patients
Wentworth Douglass Hospital Past Accepting new patients

Locations

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

Interoperability endpoints

  • Direct secure messaging: lyng.thomas.wdh@direct.partners.masshiway.net

Organizations & group practices 4

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1104991652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WHITEHALL RD",
            "address_2": "FMH HOSPITALIST SERVICE",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03867",
            "telephone_number": "603-330-7905",
            "fax_number": "603-330-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WHITEHALL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673226",
            "telephone_number": "603-330-7905",
            "fax_number": "603-330-7906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-740-2503",
            "fax_number": "603-740-2497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNG",
        "first_name": "THOMAS",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "11326",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "FS0376877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077623",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "11326",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.