Active NPI
David R Heller, DO
- Emergency Medicine Physician
- Portsmouth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7725
- Practice address
- 333 Borthwick Ave
Portsmouth, NH 03801-7128 - Phone
- (603) 433-4012
- Fax
- (603) 433-5184
- NPI assigned
- Apr 24, 2006
- Last updated
- Jan 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7725 | NH | Primary |
Addresses
Primary practice location
333 Borthwick Ave
Portsmouth, NH 03801-7128
Mailing address
333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (603) 433-4012
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0408874Y0NH02 | Other | NH | ANTHEM |
| 30220411 | Medicaid | NH | |
| 240600099 | Medicaid | ME | |
| 3164519 | Medicaid | MA | |
| 0408874Y0NH01 | Other | NH | BCBS OF NH |
| 930118730 | Other | NH | RAILROAD |
| 930118730 | Other | RAILROAD MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150631 | MA | MD | Diabetes Educator Registered Nurse |
| 7725 | NH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of NH, LLC | Emergency Medicine | Current | Accepting new patients |
| Clearchoicemd Primary Care PLLC | Past | Accepting new patients | |
| Portsmouth Emergency Physicians PC | Past | Accepting new patients | |
| Caritas Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
10 Central Ave
Dover, NH 03820
Phone (603) 740-1500
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
603 Lafayette Rd
Seabrook, NH 03874
Phone (603) 474-6400
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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.
-
- Emergency Medicine Physician
- Derry, NH
- NPI 1386341444
-
- Emergency Medical Services (Emergency Medicine) Physician
- Portsmouth, NH
- NPI 1710923511
-
- Emergency Medicine Physician
- Brighton, MA
- NPI 1902012511
-
- Family Medicine Physician
- Saint Albans, VT
- NPI 1326582529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356998400000",
"number": "1386600815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BORTHWICK AVE",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017128",
"telephone_number": "603-433-4012",
"fax_number": "603-433-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 BORTHWICK AVE",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017128",
"telephone_number": "603-433-4012",
"fax_number": "603-433-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2013-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "7725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0408874Y0NH02",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30220411",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240600099",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3164519",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NH",
"identifier": "0408874Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "930118730",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930118730",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.