NPIMap

Individual provider Active NPI

Michael Casimir Danielski, M.D.

  • Nephrology Physician
  • Portsmouth, NH
National Provider Identifier
1114918984
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
12025 Issued in NH
Practice address
875 Greenland Rd
#C-10
Portsmouth, NH 03801-4164
Phone
(603) 436-3433
Fax
(603) 427-5115
NPI assigned
Nov 2, 2005
Last updated
Mar 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 12025 NH Primary

Addresses

Primary practice location

875 Greenland Rd
#C-10
Portsmouth, NH 03801-4164

Mailing address

875 Greenland Rd
#C-10
Portsmouth, NH 03801-4164
Phone (603) 436-3433

Other identifiers 2

IdentifierTypeStateIssuer
268480099MedicaidME
30204007MedicaidNH

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
I20050302000848 NH Practitioner - Internal MedicinePractitioner - Nephrology 3476506395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Vermont College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seacoast Kidney and Hypertension Specialists, P.L.L.C.Group PAC ID 5991895427, 7 clinicians

Practice addresses (Care Compare)

875 Greenland Rd
Unit 10
Portsmouth, NH 03801-4164
Phone (603) 436-3433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.48 of 100Reported as group
Quality
77.42
Promoting interoperability
93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Kidney & Hypertension Specialists, P.L.L.C. Nephrology CurrentSince Aug 2, 2007 Accepting new patients
Coastal Nephrology & Hypertension PC Nephrology Past Accepting new patients

Locations

1 Hampton Rd
Unit 109
Exeter, NH 03833
Phone (603) 436-3433

875 Greenland Rd
Unit 10
Portsmouth, NH 03801
Phone (603) 422-6719

875 Greenland Rd
Unit C10
Portsmouth, NH 03801
Phone (603) 436-3433

21 Whitehall Rd
Ste 202
Rochester, NH 03867
Phone (603) 436-3433

Interoperability endpoints

  • Direct secure messaging: michael.danielski@skh.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1114918984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 GREENLAND RD",
            "address_2": "#C-10",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014164",
            "telephone_number": "603-436-3433",
            "fax_number": "603-427-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 GREENLAND RD",
            "address_2": "#C-10",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014164",
            "telephone_number": "603-436-3433",
            "fax_number": "603-427-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSKI",
        "first_name": "MICHAEL",
        "middle_name": "CASIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NH",
            "license": "12025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268480099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204007",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.