Individual provider Active NPI

Andrey Lundin, MD

  • Anesthesiology Physician
  • Derry, NH
National Provider Identifier
1275565715
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20127 Issued in NH
Practice address
1 Parkland Dr
Derry, NH 03038-2746
Phone
(603) 432-1500
NPI assigned
Jul 7, 2006
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20127 NH Primary

Addresses

Primary practice location

1 Parkland Dr
Derry, NH 03038-2746

Mailing address

265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052
Phone (800) 342-2898

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, CT, MA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200508001234 NH Practitioner - Anesthesiology 2668470410 Reassigns benefits to 1 organization
I20230629000834 CT Practitioner - Anesthesiology 2668470410 Reassigns benefits to 2 organizations
I20231108002311 MA Practitioner - Anesthesiology 2668470410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Associates of New England PCGroup PAC ID 8921340886, 14 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 432-1500

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
78.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Gi PLLC CurrentSince May 22, 2023 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Sep 1, 2023 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Sep 1, 2023 Accepting new patients
Umass Memorial Medical Group Inc Anesthesiology CurrentSince Nov 6, 2023 Accepting new patients
Anesthesia Associates of New England PC Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Nov 6, 2023 Accepting new patients

Locations

2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

850 N Main Street Ext
Ste 2B3
Wallingford, CT 06492
Phone (203) 886-0036

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

1431 Centerpoint Blvd
Ste 100
Knoxville, TN 37932
Phone (865) 539-8000

Organizations & group practices 6

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 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1275565715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "800-342-2898",
            "fax_number": "602-262-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKLAND DR",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382746",
            "telephone_number": "603-432-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-3271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDIN",
        "first_name": "ANDREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NH",
            "license": "20127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.