Angel A Fernandez Segura, MD
Individual provider Active NPI Gastroenterology Physician · Bedford, NH
NPI 1124066154 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1124066154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- MD16614 (ME)
- Practice address
- 9 Washington PL Ste 204
Bedford, NH 03110-6750 - Phone
- (603) 624-4450
- Fax
- (603) 606-3049
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Appledore Medical Group Inc
Practice addresses (Care Compare)
9 Washington PL
Suite 204
Bedford, NH 03110-6750
Phone (603) 665-2470
Hospital & facility affiliations
- Catholic Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 95 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 84 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190719002742 | NH | Practitioner - Gastroenterology | 4082680202 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Medical Center | Current |
Accepting new patients | |
| Appledore Medical Group, Inc. | Current |
Accepting new patients | |
| Catholic Medical Center | Current |
Accepting new patients | |
| Appledore Medical Group, Inc | Current |
Accepting new patients | |
| St. Joseph Hospital | Current |
Accepting new patients | |
| Gastroenterology Associates of Eastern Maine | Gastroenterology | Past | Accepting new patients |
| St. Joseph Ambulatory Care Inc | Past | Accepting new patients |
Locations
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
700 Mount Hope Ave
Ste 210
Bangor, ME 04401
Phone (207) 907-3030
360 Broadway
Ste 100
Bangor, ME 04401
Phone (207) 907-3550
900 Broadway
Bldg 4
Bangor, ME 04401
Phone (207) 907-3276
600 Main St
Bldg 11
Bar Harbor, ME 04609
Phone (207) 288-1600
9 Washington Pl
Ste 204
Bedford, NH 03110
Phone (603) 624-4450
5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060
57 Webster St
Manchester, NH 03104
Phone (603) 622-6491
330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242
330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- angel.fernandezsegura@hca6.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD16614 | ME | Yes |
| Gastroenterology Physician | 207RG0100X | ME129060 | FL |
Addresses
Primary practice location
9 Washington PL Ste 204
Bedford, NH 03110-6750
Mailing address
9 Washington PL Ste 204
Bedford, NH 03110-6750
Phone (603) 624-4450
Other practice location 1
4790 Barkley Cir
Bldg. A
Fort Myers, FL 33907-7593
Phone (239) 275-8882
Other practice location 2
417 State St Ste 121
Bangor, ME 04401-6630
Phone (207) 973-4266
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415540099 | Medicaid | ME | |
| 018775500 | Medicaid | FL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | staff_nhg@gohnh.allscriptsdirect.net | Direct |
Other providers in Bedford, NH
- Marley Felix
- Lisa Ann Femia-Hou
- Kettia Fenestor
- Keri Feole-Casinelli
- Amy Fernald
- Kevin Ferst
- Sarah Rani Anika Ferst
- Kayla Fielding
- Athena Figuereo
- Valerie Figueroa Diaz
All providers in Bedford, NH · Gastroenterology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.