Active NPI
Douglas R Dreffer, M.D.
- Family Medicine Physician
- Derry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10861
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01Y002400NH01 | Other | NH | ANTHEM ID# FHC |
| 222594672 | Other | NH | GREATWEST HEALTHCARE ID# |
| P00059817 | Other | NH | RAIDROAD MEDICARE ID# |
| 2139325 | Other | NH | CIGNA ID# |
| 30200816 | Medicaid | NH | |
| NH1855 | Other | NH | HARVARD PILGRIM ID# FHC |
| 01YP02400NH01 | Other | NH | ANTHEM ID # |
| 222594672 | Other | NH | HEALTH CARE VALUE MANAGE# |
| 222594672 | Other | NH | PRIVATE HEALTH CARE ID# |
| 4126889 | Other | NH | MVP ID# |
| 01-40641 | Other | NH | UNITED HEALTHCARE ID# |
| 2500010 | Other | NH | AETNA ID# |
| NH1835 | Other | NH | HARVARD 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
6 Tsienneto Rd
Suite 100
Derry, NH 03038-1584
Phone (603) 537-1300
Hospital & facility affiliations
- Granite Vna, Inc
- Amedisys Home Health
- Concord Hospital
- Elliot Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10861 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derry Medical Center, PA | Family Medicine | Current | 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
- 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.
-
- Home Health Agency
- Portsmouth, NH
- NPI 1326230251
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
Hospital
-
- Home Health Agency
- Concord, NH
- NPI 1164425583
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.