Active NPI
Shireen Kirata
- Physician Assistant
- Derry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1312
- Practice address
- Lahey Institute of Urology, Derry
44 Birch Street
Derry, NH 03038 - Phone
- (603) 434-6380
- Fax
- (603) 434-3626
- NPI assigned
- Sep 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA6892 | MA | |
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | 1312 | NH | Primary |
Addresses
Primary practice location
Lahey Institute of Urology, Derry
44 Birch Street
Derry, NH 03038
Mailing address
Lahey Institute of Urology, Derry
44 Birch Street
Derry, NH 03038
Phone (603) 434-6380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 537-2060
6 Tsienneto Rd
Suite 101LL
Derry, NH 03038-1584
Phone (603) 537-2060
Hospital & facility affiliations
- Parkland Medical Center
- Elliot Hospital
- Catholic Medical Center
- Lahey Hospital & Medical Center, Burlington
- Exeter Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Lahey Clinic, Inc | Current | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
16 Hayden Ave
Lexington, MA 02421
Phone (781) 372-7060
44 Birch St
Derry, NH 03038
Phone (603) 434-6380
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
6 Tsienneto Rd
Ste 101LL
Londonderry, NH 03038
Phone (603) 537-2060
Interoperability endpoints
- skirata117936@direct.bilh.masshiway.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Derry, NH
- NPI 1669491601
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
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
-
- General Acute Care Hospital
- Exeter, NH
- NPI 1437158433
-
- General Acute Care Hospital
- Derry, NH
- NPI 1174570683
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1972340990
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1265941769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LAHEY INSTITUTE OF UROLOGY, DERRY",
"address_2": "44 BIRCH STREET",
"city": "DERRY",
"state": "NH",
"postal_code": "03038",
"telephone_number": "603-434-6380",
"fax_number": "603-434-3626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAHEY INSTITUTE OF UROLOGY, DERRY",
"address_2": "44 BIRCH STREET",
"city": "DERRY",
"state": "NH",
"postal_code": "03038",
"telephone_number": "603-434-6380",
"fax_number": "603-434-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRATA",
"first_name": "SHIREEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-27",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA6892",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "1312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.