Active NPI
Hannah Systrom, MD
- Gastroenterology Physician
- Lebanon, NH
National Provider Identifier
1295394401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 24823
- Practice address
- 1 Medical Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-5000
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 280424 | MA | |
| Gastroenterology Physician | 207RG0100X | 24823 | NH | Primary |
Addresses
Primary practice location
1 Medical Dr
Lebanon, NH 03756-1000
Mailing address
PO Box 810
Hanover, NH 03755-0810
Other practice location 1
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280424 | Medicaid | MA |
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
- Gastroenterology
- Education
- Geisel School of Medicine at Dartmouth, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
Hospital & facility affiliations
- Mary Hitchcock Memorial Hospital
- Cheshire Medical Center
- New London Hospital
- Northeastern Vermont Regional Hospital
- Valley Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 30 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Gastroenterology | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
Interoperability endpoints
- hannah.systrom.1@30093.direct.athenahealth.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Keene, NH
- NPI 1629181516
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- Critical Access Hospital
- New London, NH
- NPI 1831200583
-
- Critical Access Hospital
- Claremont, NH
- NPI 1306933619
-
- Primary Care Clinic/Center
- Lyndonville, VT
- NPI 1659459428
Hospital
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1275576704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1295394401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810",
"city": "HANOVER",
"state": "NH",
"postal_code": "037550810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-5000"
}
],
"practiceLocations": [
{
"address_1": "330 Brookline Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022155400",
"country_code": "US",
"telephone_number": "617-667-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYSTROM",
"first_name": "HANNAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "280424",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NH",
"license": "24823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280424",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.