Madison Reese Dourdoufis, PA-C

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2868 Issued in NH

Practice address

333 Borthwick Ave Ste 100
Portsmouth, NH 03801-4198

Phone

(603) 436-5110

NPI assigned

Aug 5, 2024

Last updated

Aug 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Appledore Medical Group, Inc

  • Internal Medicine Physician
  • Portsmouth, NH
  • NPI 1720077167
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of NH, LLC

  • Emergency Medicine Physician
  • Derry, NH
  • NPI 1386341444
  Medicare reassignment
• Appledore Medical Group, Inc.

  dba dba North Hampton Family Practice

  • Family Medicine Physician
  • North Hampton, NH
  • NPI 1174512693
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of New Hampshire Inc

  dba Portsmouth Regional Hospital

  • General Acute Care Hospital
  • Portsmouth, NH
  • NPI 1518913607
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1174353270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PATRIOTS RD",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852320",
            "telephone_number": "603-686-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE STE 100",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014198",
            "telephone_number": "603-436-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Whitehall Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038673297",
            "country_code": "US",
            "telephone_number": "603-332-5211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038204020",
            "country_code": "US",
            "telephone_number": "603-740-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Stiles Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030792897",
            "country_code": "US",
            "telephone_number": "603-890-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Plaistow Rd",
            "address_purpose": "LOCATION",
            "city": "Plaistow",
            "state": "NH",
            "postal_code": "038652804",
            "country_code": "US",
            "telephone_number": "603-257-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Lafayette Rd",
            "address_purpose": "LOCATION",
            "city": "Seabrook",
            "state": "NH",
            "postal_code": "038744279",
            "country_code": "US",
            "telephone_number": "603-474-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Parkland Dr",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030382746",
            "country_code": "US",
            "telephone_number": "603-432-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOURDOUFIS",
        "first_name": "MADISON",
        "middle_name": "REESE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "2868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Dore, PHARM.D.
• Jillian Doris
• Sarah Dostie, MED BCBA
• Brandon Charles Doucette, PHARMD.
• Douglas J Black MD LLC
• Peter J Dourdoufis, DO
• Angela Dow, MSW
• Kathleen F Dowd
• Jillian Ann Doyle, LGC
• Kayla Doyle

• Emergency Medicine Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Emergency Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.