NPIMap

Individual provider Active NPI

Michael Creppy, M.D.

  • Family Medicine Physician
  • Berlin, NH
National Provider Identifier
1366859274
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7345 Issued in GA
Practice address
133 Pleasant St
Berlin, NH 03570
Phone
(603) 752-2040
Fax
(603) 752-1709
NPI assigned
Jul 14, 2014
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7345 GA Primary

Addresses

Primary practice location

133 Pleasant St
Berlin, NH 03570

Mailing address

133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040

Other practice location 1

1000 Corporate Center Dr
Suite 200
Morrow, GA 30260-4180
Phone (770) 968-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170908001039 NH Practitioner - Family Practice 2961775275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7345GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coos County Family Health Services, Inc Family Medicine CurrentSince Jul 31, 2017 Accepting new patients
Coos County Family Health Services, Inc CurrentSince Jul 31, 2017 Accepting new patients
Coos County Family Health Services, Inc Family Medicine Past Accepting new patients
St Vincent Rehabilitation & Nursing Center Past Accepting new patients
Coos County Nursing Home Past Accepting new patients

Locations

133 Pleasant St
Berlin, NH 03570
Phone (603) 752-2040

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

2 Broadway Ave
Gorham, NH 03581
Phone (603) 466-2741

Interoperability endpoints

  • Direct secure messaging: michael.creppy.p47@direct.tenet.nextgenshare.com
  • Direct secure messaging: michael.creppy.p48@direct.tenet.nextgenshare.com
  • Direct secure messaging: michael.creppy.p49@direct.tenet.nextgenshare.com
  • Direct secure messaging: michael.creppy.p50@direct.tenet.nextgenshare.com
  • Direct secure messaging: michael.creppy.p51@direct.tenet.nextgenshare.com
  • Direct secure messaging: michael.creppy.p52@direct.tenet.nextgenshare.com
  • Direct secure messaging: michael.creppy.p53@direct.tenet.nextgenshare.com

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 6

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1366859274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PLEASANT ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035702006",
            "telephone_number": "603-752-2040",
            "fax_number": "603-752-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PLEASANT ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "03570",
            "telephone_number": "603-752-2040",
            "fax_number": "603-752-1709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Corporate Center Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Morrow",
            "state": "GA",
            "postal_code": "302604180",
            "country_code": "US",
            "telephone_number": "770-968-6464",
            "fax_number": "770-968-6465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREPPY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "7345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NH

Sources for this page

Verify at the official NPI Registry.