Active NPI
Thomas Joseph Lydon, M.D., PHD
- Emergency Medicine Physician
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 12705
- Practice address
- 1 Medical Center Dr
Dartmouth-Hitchcock Clinic
Lebanon, NH 03756 - Phone
- (603) 650-7254
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 12705 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Dartmouth-Hitchcock Clinic
Lebanon, NH 03756
Mailing address
315 Brook Holw
Hanover, NH 03755-2808
Phone (603) 643-1832
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA107307 | Other | NH | HARVARD PILGRIM NH |
| 30205179 | Medicaid | NH | |
| 1011608 | Medicaid | VT | |
| P00471249 | Other | NH | RAILROAD MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Johns Hopkins University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.4 of 100
- Quality
- 93.25
- Improvement activities
- 0
- Cost
- 79.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Seacoast Emergency Physicians, PC | Current | Accepting new patients | |
| Ocumed LLC | Emergency Medicine | Current | Accepting new patients |
Locations
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
701 Central Ave
Dover, NH 03820
Phone (603) 609-6700
65 Calef Hwy
Lee, NH 03861
Phone (603) 740-2250
Organizations & group practices 3
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Dover, NH
- NPI 1134155872
-
- Emergency Medicine Physician
- Dover, NH
- NPI 1417788811
-
- Emergency Medicine Physician
- Lee, NH
- NPI 1740410133
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1114947355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 BROOK HOLW",
"city": "HANOVER",
"state": "NH",
"postal_code": "037552808",
"telephone_number": "603-643-1832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DARTMOUTH-HITCHCOCK CLINIC",
"city": "LEBANON",
"state": "NH",
"postal_code": "03756",
"telephone_number": "603-650-7254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYDON",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D., PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "12705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM NH",
"identifier": "AA107307",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30205179",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011608",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00471249",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.