Individual provider Active NPI

Irene Patterson Rupp Hodge, MD

  • Infectious Disease Physician
  • Rochester, NH
National Provider Identifier
1114099702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
9662 Issued in NH
Practice address
21 Whitehall Rd
Suite 200
Rochester, NH 03867-3236
Phone
(603) 335-8866
Fax
(603) 335-2038
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

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
Infectious Disease Physician 207RI0200X 9662 NH Primary

Addresses

Primary practice location

21 Whitehall Rd
Suite 200
Rochester, NH 03867-3236

Mailing address

21 Whitehall Rd
Suite 200
Rochester, NH 03867-3236
Phone (603) 335-8866

Other identifiers 1

IdentifierTypeStateIssuer
30213663MedicaidNH

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
I20050823000650 NH Practitioner - Infectious Disease 4981635638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Rochester School of Medicine and Dentistry, 1991
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) 740-2832

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue202
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Feb 14, 2022 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Feb 14, 2022 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation Infectious Disease Current Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

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

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

789 Central Ave
Lowr
Dover, NH 03820

Interoperability endpoints

  • Direct secure messaging: rupphodge.irene.wdh@direct.partners.masshiway.net
  • Direct secure messaging: irene.rupphodge@hca6.eclinicaldirectplus.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114099702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WHITEHALL RD",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673236",
            "telephone_number": "603-335-8866",
            "fax_number": "603-335-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WHITEHALL RD",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673236",
            "telephone_number": "603-335-8866",
            "fax_number": "603-335-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP HODGE",
        "first_name": "IRENE",
        "middle_name": "PATTERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NH",
            "license": "9662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30213663",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.