Individual provider Active NPI

Cameron L Eilts, DPM

  • Podiatrist
  • Portsmouth, NH
National Provider Identifier
1366686297
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0335 Issued in NH
Practice address
1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone
(603) 431-1121
Fax
(603) 431-9147
NPI assigned
Apr 22, 2009
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0335 NH Primary

Addresses

Primary practice location

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679

Mailing address

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

Other identifiers 1

IdentifierTypeStateIssuer
30369262MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111006000491 NH Practitioner - Podiatry 1254483605 Reassigns benefits to 1 organization
I20111221000534 ME Practitioner - Podiatry 1254483605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Durham Rd
Suite 108
Dover, NH 03820-4380
Phone (603) 431-1121

16 Hospital Dr
Suite B
York, ME 03909-1041
Phone (207) 363-3490

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
317NEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmedicine Atlantic Orthopaedics PA CurrentSince Sep 6, 2011 Accepting new patients
Sportsmedicine Atlantic Orthopaedics PA CurrentSince Sep 6, 2011 Accepting new patients
Ear Nose and Throat Consultants and Hearing Services PLC Past Accepting new patients
Dr Greg J McCarthy PC Podiatrist PastSince Jan 1, 1999 Accepting new patients

Locations

16 Hospital Dr
Ste B
York, ME 03909
Phone (207) 351-8117

15 Durham Rd
Ste 108
Dover, NH 03820
Phone (603) 431-1121

1900 Lafayette Rd
Ste A
Portsmouth, NH 03801
Phone (603) 431-1121

Interoperability endpoints

  • Direct secure messaging: ceilts@direct.smao.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1366686297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILTS",
        "first_name": "CAMERON",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NH",
            "license": "0335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30369262",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.