Individual provider Active NPI

Paul J Urbanek, MD

  • Orthopaedic Surgery Physician
  • Portsmouth, NH
National Provider Identifier
1346276524
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
8727 Issued in NH
Practice address
67 Corporate Dr BLDG A2Nd
Portsmouth, NH 03801-2847
Phone
(603) 610-8078
NPI assigned
Jun 23, 2006
Last updated
May 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 290117 MA
Orthopaedic Surgery Physician 207X00000X 8727 NH Primary

Addresses

Primary practice location

67 Corporate Dr BLDG A2Nd
Portsmouth, NH 03801-2847

Mailing address

PO Box 412503
Boston, MA 02241-2551

Other practice location 1

55 Fruit Street
Boston, MA 02241-2551
Phone (617) 726-8523

Other identifiers 1

IdentifierTypeStateIssuer
3079133MedicaidNH

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
I20051108000104 NH Practitioner - Orthopedic Surgery 0648249730 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290117MAMDOrthopaedic Surgery Physician
8727NHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Sep 7, 2021 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Sep 7, 2021 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Westchester Neurological Consultant PC PastSince May 16, 2022 Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

789 Central Ave
#1
Dover, NH 03820
Phone (603) 609-6260

65 Route 125
Ste 206
Lee, NH 03861
Phone (603) 868-1732

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

67 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 431-5529

7 Marsh Brook Dr
Ste 205
Somersworth, NH 03878
Phone (603) 609-6189

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: purbanek@concordo1403.srs-direct.com
  • Direct secure messaging: urbanek.paul.wdh@direct.partners.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1346276524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412551",
            "fax_number": "603-224-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CORPORATE DR BLDG A2ND",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012847",
            "telephone_number": "603-610-8078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit Street",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022412551",
            "country_code": "US",
            "telephone_number": "617-726-8523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBANEK",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "290117",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "8727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079133",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.