Individual provider Active NPI

Pamela S Udomprasert, MD

  • Pediatrics Physician
  • Rochester, NH
National Provider Identifier
1346437340
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
16930 Issued in NH
Practice address
245 Rochester Hill Rd Ste 2
Rochester, NH 03867-1709
Phone
(603) 332-0238
Fax
(603) 332-7098
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 045967 CT
Pediatrics Physician 208000000X 042-0012099 VT
Pediatrics Physician 208000000X 16930 NH Primary

Addresses

Primary practice location

245 Rochester Hill Rd Ste 2
Rochester, NH 03867-1709

Mailing address

44 S Main St
Randolph, VT 05060-1381

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
I20150316001430 NH Practitioner - Pediatric Medicine 0840373502 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045967CTMDPediatrics Physician
16930NHMDPediatrics Physician
042-0012099VTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Seacoast Community Health CurrentSince Mar 18, 2024 Accepting new patients
Greater Seacoast Community Health CurrentSince Mar 18, 2024 Accepting new patients
Greater Seacoast Community Health Current Accepting new patients
Greater Seacoast Community Health Past Accepting new patients

Locations

311 Route 108
Somersworth, NH 03878
Phone (603) 422-8208

Interoperability endpoints

  • Direct secure messaging: pamela.udomprasert.1@28518.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1346437340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 S MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ROCHESTER HILL RD STE 2",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038671709",
            "telephone_number": "603-332-0238",
            "fax_number": "603-332-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOMPRASERT",
        "first_name": "PAMELA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "045967",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042-0012099",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "16930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.