Individual provider Active NPI

Robb Stidwill, MD

  • Family Medicine Physician
  • Concord, NH
National Provider Identifier
1376581009
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9632 Issued in NH
Practice address
250 Pleasant St
Concord, NH 03301-7539
Phone
(603) 485-8441
Fax
(603) 485-7718
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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 9632 NH Primary

Addresses

Primary practice location

250 Pleasant St
Concord, NH 03301-7539

Mailing address

121 Pembroke St
Pembroke, NH 03275-1311
Phone (603) 485-8441

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
I20041208000427 NH Practitioner - Family Practice 3971569237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

121 Pembroke St
Pembroke, NH 03275-1311
Phone (603) 485-8441

Hospital & facility affiliations

  • Granite Vna, Inc Home health agency, Concord, NH, CCN 307000
  • Granite Vna, Inc. Hospice, Concord, NH, CCN 301500
  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9632NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Jan 1, 2005 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2005 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Capital Region Physician Group Past Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

250 Pleasant St
Ofc
Concord, NH 03301

121 Pembroke St
Pembroke, NH 03275
Phone (603) 485-8441

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.

Hospital & facility affiliations 5

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1376581009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PEMBROKE ST",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032751311",
            "telephone_number": "603-485-8441",
            "fax_number": "603-485-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017539",
            "telephone_number": "603-485-8441",
            "fax_number": "603-485-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDWILL",
        "first_name": "ROBB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.