Individual provider Active NPI

Douglas R Dreffer, M.D.

  • Family Medicine Physician
  • Derry, NH
National Provider Identifier
1316940802
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10861 Issued in NH
Practice address
6 Tsienneto Rd Ste 100
Derry, NH 03038
Phone
(603) 537-1300
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10861 NH Primary

Addresses

Primary practice location

6 Tsienneto Rd Ste 100
Derry, NH 03038

Mailing address

6 Buttrick Rd Ste 102
Londonderry, NH 03053-3417
Phone (603) 537-1300

Other identifiers 13

IdentifierTypeStateIssuer
01Y002400NH01OtherNHANTHEM ID# FHC
222594672OtherNHGREATWEST HEALTHCARE ID#
P00059817OtherNHRAIDROAD MEDICARE ID#
2139325OtherNHCIGNA ID#
30200816MedicaidNH
NH1855OtherNHHARVARD PILGRIM ID# FHC
01YP02400NH01OtherNHANTHEM ID #
222594672OtherNHHEALTH CARE VALUE MANAGE#
222594672OtherNHPRIVATE HEALTH CARE ID#
4126889OtherNHMVP ID#
01-40641OtherNHUNITED HEALTHCARE ID#
2500010OtherNHAETNA ID#
NH1835OtherNHHARVARD PILGRIM ID#

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
I20031205000574 NH Practitioner - Family Practice 9133024730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Derry Medical Center, PA 98 clinicians

Practice addresses (Care Compare)

6 Tsienneto Rd
Suite 100
Derry, NH 03038-1584
Phone (603) 537-1300

Hospital & facility affiliations

  • Granite Vna, Inc Home health agency, Concord, NH, CCN 307000
  • Amedisys Home Health Home health agency, Portsmouth, NH, CCN 307006
  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10861NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derry Medical Center, PA Family Medicine CurrentSince Oct 1, 2017 Accepting new patients

Locations

160 S River Rd
Bedford, NH 03110
Phone (603) 668-3509

81 Hall St
Concord, NH 03301
Phone (603) 228-7245

6 Tsienneto Rd
Ste 100
Derry, NH 03038

14 Tsienneto Rd
Bldg B
Derry, NH 03038

50 Michels Way
Unit 102
Londonderry, NH 03053

6 Buttrick Rd
Ste 102
Londonderry, NH 03053
Phone (603) 537-1308

Interoperability endpoints

  • Direct secure messaging: douglasdreffer@dmcnh.allscriptsdirect.net

Organizations & group practices 1

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 4

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1316940802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUTTRICK RD STE 102",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533417",
            "telephone_number": "603-537-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 100",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "603-537-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREFFER",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "10861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID# FHC",
            "identifier": "01Y002400NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATWEST HEALTHCARE ID#",
            "identifier": "222594672",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIDROAD MEDICARE ID#",
            "identifier": "P00059817",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID#",
            "identifier": "2139325",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200816",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM ID# FHC",
            "identifier": "NH1855",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID #",
            "identifier": "01YP02400NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE VALUE MANAGE#",
            "identifier": "222594672",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTH CARE ID#",
            "identifier": "222594672",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP ID#",
            "identifier": "4126889",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID#",
            "identifier": "01-40641",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID#",
            "identifier": "2500010",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM ID#",
            "identifier": "NH1835",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.