Steven P Boutrus, M.D.
Individual provider Active NPI Emergency Medicine Physician · Keene, NH
NPI 1346568110 · NPPES record last updated Oct 17, 2013
Key facts
- NPI
- 1346568110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 16029 (NH)
- Practice address
- 580 Court St
Keene, NH 03431-1718 - Phone
- (603) 354-5454
- NPI assigned
- May 4, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Tufts University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Hampshire Emergency Physician Associates PC
Dartmouth-Hitchcock Clinic
Practice addresses (Care Compare)
240 S Main St
Wolfeboro, NH 03894-4411
Phone (856) 686-4316
590 Court St
Keene, NH 03431-1719
Phone (603) 354-5400
Hospital & facility affiliations
- Monadnock Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130913000560 | NH | Practitioner - Emergency Medicine | 2961646823 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Emergency Medicine | Current |
Accepting new patients |
| New Hampshire Emergency Physician Associates PC | Emergency Medicine | Current |
Accepting new patients |
Locations
253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200
580 Court St
Keene, NH 03431
Phone (603) 354-5454
590 Court St
Keene, NH 03431
Phone (603) 354-5454
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699
240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093
17 Belmont Ave
Ste 1051
Brattleboro, VT 05301
17 Belmont Ave
#2
Brattleboro, VT 05301
Phone (802) 251-8611
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
Interoperability endpoints
- sboutrus135806@direct.dartmouth-hitchcock.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 16029 | NH | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
580 Court St
Keene, NH 03431-1718
Mailing address
580 Court St
Keene, NH 03431-1718
Phone (603) 354-5454
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3087917 | Medicaid | NH |
Other providers in Keene, NH
- Kathi Borden
- Tina Borsa
- Lynn A Boudreau
- Judith Anne Boule
- Debra A Bourassa
- Erin C Bowers
- Karen L Bowers
- Maranda Nicole Bowers
- Kathryn Rose Bradley
- Ann M Branen
All providers in Keene, NH · Emergency Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.