Individual provider Active NPI

Elizabeth Millett Gale, M.D.

  • Pediatrics Physician
  • Exeter, NH
National Provider Identifier
1386935187
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21218 Issued in NH
Practice address
5 Alumni Dr
Exeter, NH 03833-2128
Phone
(603) 580-7525
Fax
(603) 580-7525
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21218 NH Primary

Addresses

Primary practice location

5 Alumni Dr
Exeter, NH 03833-2128

Mailing address

5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 580-7525

Other practice location 1

55 Fogg Rd
South Weymouth, MA 02190-2432
Phone (609) 741-5560

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
I20210317002733 NH Practitioner - Pediatric Medicine 3173659349 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21218NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians, LLC Pediatrics CurrentSince Apr 1, 2021 Accepting new patients
Core Physicians LLC CurrentSince Apr 1, 2021 Accepting new patients
Exeter Hospital Inc Past Accepting new patients

Locations

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

7 Holland Way
#1
Exeter, NH 03833

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

5 Alumni Dr
Fl 2
Exeter, NH 03833
Phone (603) 580-7525

Interoperability endpoints

  • Direct secure messaging: egale507265@direct.bilh.masshiway.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1386935187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALUMNI DR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332128",
            "telephone_number": "603-580-7525",
            "fax_number": "603-580-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALUMNI DR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332128",
            "telephone_number": "603-580-7525",
            "fax_number": "603-580-7525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fogg Rd",
            "address_purpose": "LOCATION",
            "city": "South Weymouth",
            "state": "MA",
            "postal_code": "021902432",
            "country_code": "US",
            "telephone_number": "609-741-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALE",
        "first_name": "ELIZABETH",
        "middle_name": "MILLETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "21218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.