Active NPI
Southern New Hampshire Internal Medicine Associates, PLLC
- Specialist
- Derry, NH
National Provider Identifier
1316026677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SOUTHERN NEW HAMPSHIRE INTERNAL MEDICINE ASSOCIATES, PLLC
- Practice address
- 6 Tsienneto Rd
Suite 300
Derry, NH 03038-1584 - Phone
- (603) 216-0400
- Fax
- (603) 216-3800
- NPI assigned
- Nov 6, 2006
- Last updated
- Mar 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casey Bzdak
- Title
- Practice Billing Manager
- Phone
- (603) 216-0479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
6 Tsienneto Rd
Suite 300
Derry, NH 03038-1584
Mailing address
6 Tsienneto Rd Ste 300
Derry, NH 03038-1584
Phone (603) 216-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30211447 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
160 S River Rd
Ste 101A
Bedford, NH 03110
Phone (603) 216-3800
49 Range Rd
#100
Windham, NH 03087
49 Range Rd
Ste 110
Windham, NH 03087
Practitioners & affiliated clinicians
Practitioners 57
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.
-
- Sports Medicine (Family Medicine) Physician
- Derry, NH
- NPI 1528588589
-
- Family Medicine Physician
- Derry, NH
- NPI 1952715401
-
- Gerontology Nurse Practitioner
- Derry, NH
- NPI 1275102667
-
- Internal Medicine Physician
- Derry, NH
- NPI 1437253150
-
- Internal Medicine Physician
- Derry, NH
- NPI 1356379176
-
- Internal Medicine Physician
- Derry, NH
- NPI 1760915466
-
- Internal Medicine Physician
- Derry, NH
- NPI 1083716963
-
- Family Medicine Physician
- Derry, NH
- NPI 1013022797
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1255380044
-
- Internal Medicine Physician
- Derry, NH
- NPI 1356435655
-
- Internal Medicine Physician
- Derry, NH
- NPI 1285728584
-
- Internal Medicine Physician
- Windham, NH
- NPI 1124656335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773964800000",
"number": "1316026677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 TSIENNETO RD STE 300",
"city": "DERRY",
"state": "NH",
"postal_code": "030381584",
"telephone_number": "603-216-0400",
"fax_number": "603-216-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TSIENNETO RD",
"address_2": "SUITE 300",
"city": "DERRY",
"state": "NH",
"postal_code": "030381584",
"telephone_number": "603-216-0400",
"fax_number": "603-216-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN NEW HAMPSHIRE INTERNAL MEDICINE ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A",
"authorized_official_last_name": "BZDAK",
"authorized_official_first_name": "CASEY",
"authorized_official_title_or_position": "PRACTICE BILLING MANAGER",
"authorized_official_telephone_number": "603-216-0479"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30211447",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.