Active NPI
David Porbunderwala, M.D.
- Anesthesiology Physician
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 21469
- Practice address
- 100 McGregor St
Manchester, NH 03102-3770 - Phone
- (603) 668-3545
- NPI assigned
- Jun 27, 2016
- Last updated
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 268081 | MA | |
| Anesthesiology Physician | 207L00000X | 21469 | NH | Primary |
Addresses
Primary practice location
100 McGregor St
Manchester, NH 03102-3770
Mailing address
100 McGregor St
Manchester, NH 03102-3770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 McGregor St
Manchester, NH 03102-3730
Phone (800) 437-9666
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268081 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Medical Center | Anesthesiology | Current | Accepting new patients |
| Matrix Pathology and Laboratory Services PLLC | Current | Accepting new patients | |
| North American Partners in Anesthesia New Hampshire LLP | Anesthesiology | Current | Accepting new patients |
| Anesthesia Care Group PC | Anesthesiology | Current | Accepting new patients |
| Granite State Anesthesia Partners, LLC | Anesthesiology | Current | Accepting new patients |
Locations
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180
88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325
8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1821815010
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1629074224
-
dba Manchester Anesthesia Associates
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
- Anesthesiology Physician
- Nashua, NH
- NPI 1306838701
-
- Anatomic Pathology & Clinical Pathology Physician
- Manchester, NH
- NPI 1083157341
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Catholic Medical Center
- General Acute Care Hospital
- Manchester, NH
- NPI 1972340990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1275984650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023770",
"telephone_number": "603-668-3545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORBUNDERWALA",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "268081",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NH",
"license": "21469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
- Teresa Ann Ponn, MD
- Lisa Poole, L.M.T.
- Yvette Rodriguez Poole
- Tanya Marie Popoloski, MSW, LICSW
- Danielle Alexandra Porbunderwala, D.O.
- Kevin John Porbunderwala, M.D.
- Positive Change in Action
- Positive Reinforcement ABA Therapy Inc.
- Positive Reinforcement Behavior Therapy, Inc
- Daniel Patrick Potenza, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.