NPIMap

Individual provider Active NPI

Mary-Claire Sampas Paicopolis, M.D.

  • Cardiovascular Disease Physician
  • Laconia, NH
National Provider Identifier
1114018322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
8741 Issued in NH
Practice address
85 Spring St
Laconia, NH 03246-3113
Phone
(603) 528-8555
Fax
(603) 528-7668
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 8741 NH Primary

Addresses

Primary practice location

85 Spring St
Laconia, NH 03246-3113

Mailing address

85 Spring St
Laconia, NH 03246-3113
Phone (603) 528-8555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051228000135 NH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335161850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

369 Hounsell Ave
Suite 5
Gilford, NH 03249-6996
Phone (603) 528-8555

Hospital & facility affiliations

  • Granite Vna, Inc Home health agency, Concord, NH, CCN 307000
  • Lakes Region Visiting Nurse Association Home health agency, Meredith, NH, CCN 307013
  • Quality Care Home Health & Hospice Home health agency, Center Harbor, NH, CCN 307099
  • Granite Vna, Inc. Hospice, Concord, NH, CCN 301500
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312
  • Concord Hospital Hospital, Concord, NH, CCN 300001

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laconia Cardiology Cardiovascular Disease CurrentSince Jul 13, 1992 Accepting new patients

Locations

369 Hounsell Ave
Gilford, NH 03249
Phone (603) 527-8015

369 Hounsell Ave
Ste 5
Gilford, NH 03249
Phone (603) 528-8555

85 Spring St
Laconia, NH 03246
Phone (603) 524-7402

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

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.

Hospital & facility affiliations 12

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114018322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-528-8555",
            "fax_number": "603-528-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-528-8555",
            "fax_number": "603-528-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAICOPOLIS",
        "first_name": "MARY-CLAIRE",
        "middle_name": "SAMPAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "8741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.