Emily Deibert Cisneros, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Bedford, NH

NPI 1306307145 · NPPES record last updated Oct 31, 2023

Key facts

NPI
1306307145
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
24061 (NH)
Practice address
201 Riverway PL
Bedford, NH 03110-6763
Phone
(603) 668-8400
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
Florida State University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bedford Commons OB GYN PA (24 clinicians)

Practice addresses (Care Compare)

201 Riverway PL
Bedford, NH 03110-6763
Phone (603) 668-8400

Hospital & facility affiliations

  • Elliot Hospital Hospital · Manchester, NH · CCN 300012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231016001195 NH Practitioner - Obstetrics/Gynecology 5890021703 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Commons OB GYN PA Obstetrics & Gynecology Current
since Sep 1, 2023
Accepting new patients
Elliot Hospital of the City of Manchester Past Accepting new patients

Locations

201 Riverway Pl
Bedford, NH 03110
Phone (603) 494-0682

6 Tsienneto Rd
Ste 202
Derry, NH 03038
Phone (603) 695-2560

6 Tsienneto Rd
Londonderry, NH 03038
Phone (603) 421-9959

50 Michels Way
Unit 203
Londonderry, NH 03053

49 Range Rd
Ste 109
Windham, NH 03087
Phone (603) 432-8802

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 24061 NH Yes

Addresses

Primary practice location

201 Riverway PL
Bedford, NH 03110-6763

Mailing address

201 Riverway PL
Bedford, NH 03110-6763
Phone (603) 668-8400

Other providers in Bedford, NH

All providers in Bedford, NH · Obstetrics & Gynecology Physician in New Hampshire

Sources for this page

Verify at the official NPI Registry.