Individual provider Active NPI

Delphine Glorieux-Sullivan, MD

  • Orthopaedic Surgery Physician
  • Berlin, NH
National Provider Identifier
1124196001
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
10170 Issued in NH
Practice address
7 Page Hill Rd
Berlin, NH 03570-3531
Phone
(603) 752-2300
Fax
(603) 752-8231
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 10170 NH Primary

Addresses

Primary practice location

7 Page Hill Rd
Berlin, NH 03570-3531

Mailing address

59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2300

Other identifiers 7

IdentifierTypeStateIssuer
201410OtherNHCIGNA NH
2608304OtherNHCIGNA AVH SURGICAL ASSOCI
G63879OtherNHHPHC
0100422Y0NH01OtherNHANTHEM SURGICAL ASSOCIATE
30010899OtherNHMEDICAID PIN
0100422Y0NH02OtherNHBCBS ANTHEM
30201309MedicaidNH

Other names 1

  • Delphine Glorieux Former name

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
I20040819001046 NH Practitioner - Orthopedic Surgery 0648244335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottage HospitalGroup PAC ID 1951219617, 29 clinicians

Practice addresses (Care Compare)

90 Swiftwater Rd
Woodsville, NH 03785-1421
Phone (603) 747-9000

Hospital & facility affiliations

  • Cottage Hospital Hospital, Woodsville, NH, CCN 301301

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10170NHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Hospital CurrentSince Sep 14, 2017 Accepting new patients

Locations

90 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-9000

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cottage HospitalWoodsville, NH, CCN 301301 Hospital Corporate Officer Dec 18, 2021
Cottage HospitalWoodsville, NH, CCN 30M301 Hospital Corporate Director Dec 15, 2021
Cottage HospitalWoodsville, NH, CCN 30Z301 Hospital Corporate Officer Nov 1, 2022
Rowe Health CenterWoodsville, NH, CCN 303989 Rural health clinic Corporate Officer Nov 1, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 4

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1124196001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PAGE HILL RD",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703531",
            "telephone_number": "603-752-2300",
            "fax_number": "603-752-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PAGE HILL RD",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703531",
            "telephone_number": "603-752-2300",
            "fax_number": "603-752-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLORIEUX-SULLIVAN",
        "first_name": "DELPHINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "10170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA NH",
            "identifier": "201410",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA AVH SURGICAL ASSOCI",
            "identifier": "2608304",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "G63879",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SURGICAL ASSOCIATE",
            "identifier": "0100422Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PIN",
            "identifier": "30010899",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "0100422Y0NH02",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201309",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELPHINE",
            "last_name": "GLORIEUX",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berlin, NH

Sources for this page

Verify at the official NPI Registry.