NPIMap

Individual provider Active NPI

Michael Patrick Marolda, MD

  • Family Medicine Physician
  • Derry, NH
National Provider Identifier
1407206477
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19464 Issued in NH
Practice address
6 Tsienneto Rd Ste 100
Derry, NH 03038-1595
Phone
(603) 537-1300
NPI assigned
Jun 20, 2016
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19464 NH Primary
Hospitalist Physician 208M00000X 19464 NH

Addresses

Primary practice location

6 Tsienneto Rd Ste 100
Derry, NH 03038-1595

Mailing address

6 Buttrick Rd Ste 102
Londonderry, NH 03053-3417
Phone (603) 537-1300

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
I20190812002193 NH Practitioner - Family PracticePractitioner - Hospitalist 0547555005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Derry Medical Center, PAGroup PAC ID 5294711768, 98 clinicians

Practice addresses (Care Compare)

6 Tsienneto Rd
Suite 100
Derry, NH 03038-1584
Phone (603) 537-1300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19464NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Era Medicine PLLC CurrentSince Jul 6, 2020 Accepting new patients
Derry Medical Center, PA Family Medicine CurrentSince Sep 1, 2022 Accepting new patients

Locations

160 S River Rd
Bedford, NH 03110
Phone 6037425556107

254 Pleasant St
Concord, NH 03301
Phone (603) 226-9700

280 Pleasant St
Ste 1
Concord, NH 03301
Phone (603) 226-9800

46 S Main St
Ste 2
Concord, NH 03301
Phone (603) 225-8451

14 Tsienneto Rd
Bldg B
Derry, NH 03038

6 Tsienneto Rd
Ste 100
Derry, NH 03038

6 Buttrick Rd
Ste 102
Londonderry, NH 03053
Phone (603) 537-1308

87 McGregor St
Ste 3200
Manchester, NH 03102
Phone (603) 715-1263

Interoperability endpoints

  • Direct secure messaging: michaelmarolda@dmcnh.allscriptsdirect.net

Organizations & group practices 2

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 8

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1407206477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUTTRICK RD STE 102",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533417",
            "telephone_number": "603-537-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 100",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381595",
            "telephone_number": "603-537-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROLDA",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "19464",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "19464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.