Individual provider Active NPI

Andrew Schultz, MD

  • Internal Medicine Physician
  • Windham, NH
National Provider Identifier
1124656335
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
238323 Issued in NH
Practice address
49 Range Rd Ste 110
Windham, NH 03087-2029
Phone
(603) 216-0400
Fax
(603) 216-3800
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23832 NH
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 238323 NH Primary

Addresses

Primary practice location

49 Range Rd Ste 110
Windham, NH 03087-2029

Mailing address

6 Tsienneto Rd Ste 300
Derry, NH 03038-1584
Phone (603) 216-0479

Other practice location 1

6 Tsienneto Rd Ste 300
Derry, NH 03038-1584
Phone (603) 216-0400

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
I20230726001963 NH Practitioner - Internal Medicine 0244655223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern New Hampshire Internal Medicine Associates PCGroup PAC ID 9133111990, 16 clinicians

Practice addresses (Care Compare)

49 Range Rd
Suite 100
Windham, NH 03087-2029
Phone (603) 216-0400

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Portsmouth, NH, CCN 307006
  • Pathways Healthcare LLC Home health agency, Londonderry, NH, CCN 307095
  • Amedisys Hospice Care Hospice, Bedford, NH, CCN 301507
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23832NHMDInternal Medicine Physician
238323NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern New Hampshire Internal Medicine Associates, PLLC CurrentSince Jul 28, 2023 Accepting new patients

Locations

160 S River Rd
Ste 101A
Bedford, NH 03110
Phone (603) 216-3800

6 Tsienneto Rd
Ste 300
Derry, NH 03038
Phone (603) 216-0479

49 Range Rd
#100
Windham, NH 03087

49 Range Rd
Ste 110
Windham, NH 03087

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 11

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1124656335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 300",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-216-0479",
            "fax_number": "603-216-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 RANGE RD STE 110",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872029",
            "telephone_number": "603-216-0400",
            "fax_number": "603-216-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Tsienneto Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030381584",
            "country_code": "US",
            "telephone_number": "603-216-0400",
            "fax_number": "603-216-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "23832",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "238323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

Verify at the official NPI Registry.