Individual provider Active NPI

Mikhail Signalov, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Nashua, NH
National Provider Identifier
1316138910
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
17234 Issued in NH
Practice address
166 Kinsley St Ste 101
Nashua, NH 03060-3676
Phone
(603) 881-7141
Fax
(603) 880-7221
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 17234 NH Primary

Addresses

Primary practice location

166 Kinsley St Ste 101
Nashua, NH 03060-3676

Mailing address

C/O St Mary'S Health System
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8695

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
I20151001000390 NH Practitioner - Endocrinology 7214121524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

168 Kinsley St
Suite 10
Nashua, NH 03060-3634
Phone (603) 578-9363

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Mar 11, 2019 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Mar 11, 2019 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations

168 Kinsley St
Nashua, NH 03060
Phone (603) 578-9363

166 Kinsley St
Ste 101
Nashua, NH 03060
Phone (603) 881-7141

168 Kinsley St
Ste 10
Nashua, NH 03060
Phone (603) 578-9363

166 Kinsley St
Ste 201
Nashua, NH 03060
Phone (603) 880-9177

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Interoperability endpoints

  • Direct secure messaging: msignalov1155744@direct.bsmhealth.org

Organizations & group practices 3

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1316138910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ST MARY'S HEALTH SYSTEM",
            "address_2": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8695",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 KINSLEY ST STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603676",
            "telephone_number": "603-881-7141",
            "fax_number": "603-880-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGNALOV",
        "first_name": "MIKHAIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NH",
            "license": "17234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.