NPIMap

Individual provider Active NPI

John Patrick Aguilar Sia, MD

  • Nephrology Physician
  • Manchester, NH
National Provider Identifier
1255597464
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
17413 Issued in NH
Practice address
1750 Elm Street
Suite 201C
Manchester, NH 03104-2903
Phone
(603) 621-2948
Fax
(603) 621-4126
NPI assigned
Aug 6, 2008
Last updated
Apr 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 17413 NH Primary

Addresses

Primary practice location

1750 Elm Street
Suite 201C
Manchester, NH 03104-2903

Mailing address

1750 Elm Street
Suite 201C
Manchester, NH 03104-2903
Phone (603) 621-2948

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
I20160324001449 NH Practitioner - Nephrology 3779722806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, P. a.Group PAC ID 6608811708, 4 clinicians

Practice addresses (Care Compare)

248 Pleasant St
G300
Concord, NH 03301-7530
Phone (603) 224-9995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17413NHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, P. a. Nephrology CurrentSince Feb 1, 2016 Accepting new patients
Nephrology Associates Medical Group Inc Nephrology PastSince Feb 1, 2016 Accepting new patients

Locations

248 Pleasant St
Ste G300
Concord, NH 03301
Phone (603) 224-3901

1750 Elm St
Ste 201C
Manchester, NH 03104
Phone (603) 621-5800

Organizations & group practices 2

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1255597464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 ELM STREET",
            "address_2": "SUITE 201C",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042903",
            "telephone_number": "603-621-2948",
            "fax_number": "603-621-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ELM STREET",
            "address_2": "SUITE 201C",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042903",
            "telephone_number": "603-621-2948",
            "fax_number": "603-621-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIA",
        "first_name": "JOHN PATRICK",
        "middle_name": "AGUILAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NH",
            "license": "17413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.