Individual provider Active NPI

John Michael Panopoulos, D.O.

  • Anesthesiology Physician
  • Portsmouth, NH
National Provider Identifier
1356342653
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
NH10491 Issued in NH
Practice address
333 Borthwick Avenue
Portsmouth Anesthesia Associates
Portsmouth, NH 03801-7128
Phone
(603) 749-0043
NPI assigned
Aug 9, 2005
Last updated
Aug 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NH10491 NH
Anesthesiology Physician 207L00000X NH10491 NH Primary

Addresses

Primary practice location

333 Borthwick Avenue
Portsmouth Anesthesia Associates
Portsmouth, NH 03801-7128

Mailing address

PO Box 845343
Portsmouth Anesthesia Associates
Boston, MA 02284-5343
Phone (800) 720-1664

Other identifiers 1

IdentifierTypeStateIssuer
30220121MedicaidNH

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
I20101208000807 NH Practitioner - Anesthesiology 1456390772 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite State Anesthesia Partners, LLCGroup PAC ID 6709315708, 41 clinicians

Practice addresses (Care Compare)

100 McGregor St
Manchester, NH 03102-3730
Phone (800) 437-9666

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NH10491NHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Matrix Pathology and Laboratory Services PLLC Current Accepting new patients
Portsmouth Anesthesia Associates PA Specialist CurrentSince Feb 22, 1999 Accepting new patients
Anesthesia Care Group PC Anesthesiology CurrentSince May 19, 2019 Accepting new patients
Granite State Anesthesia Partners, LLC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients

Locations

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1356342653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845343",
            "address_2": "PORTSMOUTH ANESTHESIA ASSOCIATES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022845343",
            "telephone_number": "800-720-1664",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVENUE",
            "address_2": "PORTSMOUTH ANESTHESIA ASSOCIATES",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-749-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOPOULOS",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NH",
            "license": "NH10491",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NH",
            "license": "NH10491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30220121",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.