NPIMap

Organization Active NPI

Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
National Provider Identifier
1285627935
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELLIOT PROFESSIONAL SERVICES
Practice address
1070 Holt Ave
Unit 1, Suite 2200
Manchester, NH 03109-5603
Phone
(603) 663-4900
Fax
(603) 663-4984
NPI assigned
Aug 29, 2005
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Richard P. Herman
Title
Director of Operations & Finance
Phone
(603) 663-4904

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Internal Medicine Physician 207R00000X NU Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Pulmonary Disease Physician 207RP1001X NU
Neonatal-Perinatal Medicine Physician 2080N0001X NU
Plastic Surgery Physician 208200000X NU
Psychiatry Physician 2084P0800X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Pediatric Surgery Physician 2086S0120X NU
Hospitalist Physician 208M00000X NU
Pain Medicine Physician 208VP0000X NU
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU

Addresses

Primary practice location

1070 Holt Ave
Unit 1, Suite 2200
Manchester, NH 03109-5603

Mailing address

PO Box 9659
Manchester, NH 03108-9659
Phone (603) 663-4900

Other identifiers 1

IdentifierTypeStateIssuer
CK3360OtherNHRR MEDICARE GROUP #

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmdprod.craneware.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Craneware, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000634 NH Part B Supplier - Clinic/Group Practice 6103727920 Receives reassigned benefits from 539 practitioners
Practice locations: Windham, NH; Raymond, NH; Portsmouth, NH; Nashua, NH; Manchester, NH; Londonderry, NH; Hooksett, NH; Dover, NH…

National Provider Directory

National Provider Directory

Locations

360 Route 101
Ste 8
Bedford, NH 03110
Phone (603) 472-5860

701 Riverway Pl
Bldg 7
Bedford, NH 03110
Phone (603) 668-3067

706 Riverway Pl
Bedford, NH 03110
Phone (603) 623-3516

1 Elliot Way
Fl 2
Manchester, NH 03103
Phone (603) 625-8462

1070 Holt Ave
Ste 2200
Manchester, NH 03109

1070 Holt Ave
Unit 1
Manchester, NH 03109
Phone (603) 663-3130

15 Nelson St
Ste 2
Manchester, NH 03103
Phone (603) 624-8491

445 Cypress St
Ste 3
Manchester, NH 03103
Phone (603) 663-8220

445 Cypress St
Ste 8
Manchester, NH 03103
Phone (603) 552-1670

18 Pelham Rd
Ste 1
Salem, NH 03079
Phone (603) 870-7400

Ownership & related parties

Subparts reporting this organization as parent 34

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 34

Practitioners & affiliated clinicians

Practitioners 652

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 652

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1285627935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9659",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031089659",
            "telephone_number": "603-663-4900",
            "fax_number": "603-663-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 HOLT AVE",
            "address_2": "UNIT 1, SUITE 2200",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031095603",
            "telephone_number": "603-663-4900",
            "fax_number": "603-663-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS & FINANCE",
        "authorized_official_telephone_number": "603-663-4904"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CK3360",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmdprod.craneware.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.17.9.1",
            "affiliationName": "Craneware, Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Fairway Dr Ste 400",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334411830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.