Individual provider Active NPI

Todd F. Dombrowski, M.D.

  • Rheumatology Physician
  • Keene, NH
National Provider Identifier
1144481789
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
15291 Issued in NH
Practice address
580 - 590 Court St
Keene, NH 03431
Phone
(603) 354-6570
Fax
(603) 354-6449
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 255749 NY
Rheumatology Physician 207RR0500X 042-0012248 VT
Rheumatology Physician 207RR0500X 15291 NH Primary

Addresses

Primary practice location

580 - 590 Court St
Keene, NH 03431

Mailing address

580 - 590 Court St
Keene, NH 03431
Phone (603) 354-6570

Other practice location 1

17 Belmont Ave
Attention Reina Champney
Brattleboro, VT 05301
Phone (802) 257-0341

Other identifiers 2

IdentifierTypeStateIssuer
3075896MedicaidNH
1019533MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110920000282 NH Practitioner - Internal Medicine 6002099348 Reassigns benefits to 4 organizations
I20120406000398 VT Practitioner - Rheumatology 6002099348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cheshire Medical CenterGroup PAC ID 1456260165, 165 clinicians
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, shared by 2 NPIs, 1,445 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

580 Court St
Keene, NH 03431-1718
Phone (603) 354-5454

590 Court St
Keene, NH 03431-1719
Phone (603) 354-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
75.44
Promoting interoperability
100
Improvement activities
40
Cost
72.09

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255749NYMDInternal Medicine Physician
042-0012248VTMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic Internal Medicine CurrentSince Aug 13, 2011 Accepting new patients
Mary Hitchcock Memorial Hospital Internal Medicine Current Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 1, 2019 Accepting new patients
Dartmouth-Hitchcock Clinic Internal Medicine CurrentSince Aug 13, 2011 Accepting new patients
Cheshire Medical Center CurrentSince Jan 1, 2019 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 25, 2025 Accepting new patients
Brattleboro Memorial Hospital Internal Medicine PastSince Aug 1, 2016 Accepting new patients

Locations

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

580 Court St
Keene, NH 03431
Phone (603) 354-5454

590 Court St
Keene, NH 03431
Phone (603) 354-5454

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

17 Belmont Ave
#2
Brattleboro, VT 05301
Phone (802) 251-8611

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

53 Fairview St
Brattleboro, VT 05301
Phone (802) 251-8455

Interoperability endpoints

  • Direct secure messaging: tdombrowski296412@direct.dartmouth-hitchcock.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

Organizations & group practices 7

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1144481789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 - 590 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "03431",
            "telephone_number": "603-354-6570",
            "fax_number": "603-354-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 - 590 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "03431",
            "telephone_number": "603-354-6570",
            "fax_number": "603-354-6449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Belmont Ave",
            "address_2": "Attention Reina Champney",
            "address_purpose": "LOCATION",
            "city": "Brattleboro",
            "state": "VT",
            "postal_code": "05301",
            "country_code": "US",
            "telephone_number": "802-257-0341",
            "fax_number": "802-257-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMBROWSKI",
        "first_name": "TODD",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "255749",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VT",
            "license": "042-0012248",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NH",
            "license": "15291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075896",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019533",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.