NPIMap

Individual provider Active NPI

Matthew Douglas Robertson, M.D.

  • Neurology Physician
  • Dover, NH
National Provider Identifier
1245474360
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
17186 Issued in NH
Practice address
10 Members Way Ste 300
Dover, NH 03820-5933
Phone
(603) 749-0913
NPI assigned
Apr 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 17186 NH Primary

Addresses

Primary practice location

10 Members Way Ste 300
Dover, NH 03820-5933

Mailing address

PO Box 412503
Boston, MA 02241-2503
Phone (603) 726-3884

Other practice location 1

330 Borthwick Ave
Suite 107
Portsmouth, NH 03801-4174
Phone (603) 570-3100

Other identifiers 2

IdentifierTypeStateIssuer
3104133MedicaidNH
P01532933OtherNHRAILROAD MEDICARE

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
I20150930001425 NH Practitioner - NeurologyPractitioner - Sleep Medicine 6901021120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
University of Minnesota Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Members Way
300 Coastal Neurology Services
Dover, NH 03820-5933
Phone (603) 749-0913

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation Neurology Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Sep 9, 2024 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Sep 9, 2024 Accepting new patients
Westchester Neurological Consultant PC Neurology Past Accepting new patients

Locations

10 Members Way
Ste 300
Dover, NH 03820
Phone (603) 742-7222

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

121 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 610-8075

73 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 610-8050

Interoperability endpoints

  • Direct secure messaging: matthew.robertson@hca6.eclinicaldirectplus.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: robertson.matthew.wdh@direct.partners.masshiway.net

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 4

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1245474360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412503",
            "telephone_number": "603-726-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY STE 300",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-749-0913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Borthwick Ave",
            "address_2": "SUITE 107",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014174",
            "country_code": "US",
            "telephone_number": "603-570-3100",
            "fax_number": "603-570-3105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "17186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104133",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01532933",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.