NPIMap

Individual provider Active NPI

Mark Ferlan, DO

  • Internal Medicine Physician
  • Manchester, NH
National Provider Identifier
1124230370
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13956 Issued in NH
Practice address
775 S Main St
Manchester, NH 03102-5143
Phone
(603) 625-6198
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13956 NH Primary

Addresses

Primary practice location

775 S Main St
Manchester, NH 03102-5143

Mailing address

775 S Main St
Manchester, NH 03102-5143
Phone (603) 625-6198

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_qcma@gohnh.allscriptsdirect.net

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
I20081021000810 NH Practitioner - Internal Medicine 2668530551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

460 Amherst St
Nashua, NH 03063-1255
Phone (603) 883-7970

Hospital & facility affiliations

  • Granite Vna, Inc Home health agency, Concord, NH, CCN 307000
  • Home Health & Hospice Care Home health agency, Merrimack, NH, CCN 307017
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13956NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Nov 8, 2024 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Nov 8, 2024 Accepting new patients
Catholic Medical Center Internal Medicine CurrentSince Jan 29, 2021 Accepting new patients
Catholic Medical Center CurrentSince Jan 29, 2021 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

195 McGregor St
Ste 310
Manchester, NH 03102

173 Daniel Webster Hwy
Nashua, NH 03060
Phone (603) 891-4400

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

460 Amherst St
Nashua, NH 03063
Phone (603) 577-8400

Interoperability endpoints

  • Direct secure messaging: mferlan2722715@direct.bsmhealth.org

Organizations & group practices 5

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 6

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1124230370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025143",
            "telephone_number": "603-625-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025143",
            "telephone_number": "603-625-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERLAN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "13956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_qcma@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "775 S Main St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031025143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.