Individual provider Active NPI

Shireen Kirata

  • Physician Assistant
  • Derry, NH
National Provider Identifier
1265941769
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1312 Issued in NH
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

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171120001494 NH Practitioner - Physician Assistant 1951668367 Reassigns benefits to 1 organization
I20190410001649 MA Practitioner - Physician Assistant 1951668367 Reassigns benefits to 2 organizations

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
Lahey Clinic IncGroup PAC ID 2264336528, 1,381 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc. CurrentSince Jan 28, 2019 Accepting new patients
Lahey Clinic, Inc CurrentSince Apr 21, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.