Individual provider Active NPI

Peter Klementowicz, M.D.

  • Cardiovascular Disease Physician
  • Nashua, NH
National Provider Identifier
1285611863
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
7909 Issued in NH
Practice address
166 Kinsley St
Ste 301
Nashua, NH 03060-3676
Phone
(603) 883-5673
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 7909 NH Primary

Addresses

Primary practice location

166 Kinsley St
Ste 301
Nashua, NH 03060-3676

Mailing address

166 Kinsley St
Ste 301
Nashua, NH 03060-3676
Phone (603) 883-5673

Other identifiers 1

IdentifierTypeStateIssuer
80000307MedicaidNH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929001130 NH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3072548866 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Aug 8, 1989 Accepting new patients
Catholic Medical Center Cardiovascular Disease CurrentSince Aug 8, 1989 Accepting new patients

Locations

57 Webster St
Manchester, NH 03104
Phone (603) 622-6491

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

166 Kinsley St
Ste 301
Nashua, NH 03060
Phone (603) 689-1300

166 Kinsley St
Nashua, NH 03060
Phone (603) 595-4800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1285611863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 KINSLEY ST",
            "address_2": "STE 301",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603676",
            "telephone_number": "603-883-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 KINSLEY ST",
            "address_2": "STE 301",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603676",
            "telephone_number": "603-883-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMENTOWICZ",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "7909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000307",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.