Active NPI
James F. Fitzgerald, MD
- Family Medicine Physician
- Bedford, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11271
- Practice address
- 160 S River Rd
Bedford, NH 03110 - Phone
- (603) 537-1300
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11271 | NH | Primary |
Addresses
Primary practice location
160 S River Rd
Bedford, NH 03110
Mailing address
6 Buttrick Rd Ste 102
Londonderry, NH 03053-3417
Phone (603) 537-1300
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 579481 | Other | NH | CIGNA PIN |
| 01YP03156NH02 | Other | NH | ANTHEM ACES PIN |
| 30201509 | Medicaid | NH | |
| 2591895 | Other | NH | AETNA PIN |
| 0140906 | Other | NH | UHC PIN |
| 101115803 | Other | NH | W/C DEPT OF LABOR PIN |
| H02395 | Other | NH | ANTHEM REFERRING UPIN |
| 011271 | Other | NH | TUFTS PIN |
| 080176810 | Other | RR MEDICARE PIN | |
| NH2108 | Other | NH | HPHC PIN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040419001022 | NH | Practitioner - Family Practice | 0143215152 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Virginia School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Derry Medical Center, PA
Practice addresses (Care Compare)
6 Tsienneto Rd
Suite 100
Derry, NH 03038-1584
Phone (603) 537-1300
Hospital & facility affiliations
- Vna Home Health and Hospice Services, Inc
- Elliot Hospital
- Catholic Medical Center
- St Joseph Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11271 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derry Medical Center, PA | Family Medicine | Current | Accepting new patients |
Locations
160 S River Rd
Ste 100
Bedford, NH 03110
Phone (603) 647-0494
160 S River Rd
Bedford, NH 03110
Phone (603) 668-3509
14 Tsienneto Rd
Bldg B
Derry, NH 03038
6 Tsienneto Rd
Ste 100
Derry, NH 03038
89 S Mast St
Goffstown, NH 03045
Phone 6034100096305
50 Michels Way
Unit 102
Londonderry, NH 03053
6 Buttrick Rd
Ste 102
Londonderry, NH 03053
Phone (603) 537-1308
Interoperability endpoints
- jamesfitzgerald@dmcnh.allscriptsdirect.net
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 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
Hospital
-
- Home Health Agency
- Manchester, NH
- NPI 1548312705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1215928296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BUTTRICK RD STE 102",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533417",
"telephone_number": "603-537-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S RIVER RD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "03110",
"telephone_number": "603-537-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "JAMES",
"middle_name": "F.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "11271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "579481",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ACES PIN",
"identifier": "01YP03156NH02",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30201509",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "2591895",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN",
"identifier": "0140906",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "W/C DEPT OF LABOR PIN",
"identifier": "101115803",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM REFERRING UPIN",
"identifier": "H02395",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PIN",
"identifier": "011271",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "080176810",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC PIN",
"identifier": "NH2108",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.