Individual provider Active NPI

Concetta Rose Oteri-Ahmadpour, DO

  • Family Medicine Physician
  • Amherst, NH
National Provider Identifier
1124006374
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12549 Issued in NH
Practice address
31 Old Nashua Rd
Unit 14
Amherst, NH 03031
Phone
(603) 673-1181
Fax
(603) 673-0007
NPI assigned
Jan 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12549 NH Primary

Addresses

Primary practice location

31 Old Nashua Rd
Unit 14
Amherst, NH 03031

Mailing address

31 Old Nashua Rd
Unit 14
Amherst, NH 03031
Phone (603) 673-1181

Other identifiers 1

IdentifierTypeStateIssuer
30223103MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MWV Health Care Assoc Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1124006374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD NASHUA RD",
            "address_2": "UNIT 14",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "03031",
            "telephone_number": "603-673-1181",
            "fax_number": "603-673-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OLD NASHUA RD",
            "address_2": "UNIT 14",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "03031",
            "telephone_number": "603-673-1181",
            "fax_number": "603-673-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERI-AHMADPOUR",
        "first_name": "CONCETTA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-07",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "12549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30223103",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.