Individual provider Active NPI

Terrence R McNamara, DO

  • Pain Medicine Physician
  • Peterborough, NH
National Provider Identifier
1417042805
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
14887 Issued in NH
Practice address
458 Old Street Rd
Suite 200
Peterborough, NH 03458-1265
Phone
(603) 924-2144
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 102519 MN
Pain Medicine Physician 208VP0000X 14887 NH Primary
Acupuncturist 171100000X

Addresses

Primary practice location

458 Old Street Rd
Suite 200
Peterborough, NH 03458-1265

Mailing address

458 Old Street Rd
Suite 200
Peterborough, NH 03458-1265
Phone (603) 924-2144

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
I20101022000316 NH Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0941206023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monadnock Community HospitalGroup PAC ID 7416933031, 67 clinicians

Practice addresses (Care Compare)

452 Old St Rd
Peterborough, NH 03458-1263
Phone (603) 924-7191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102519MNMDPhysical Medicine & Rehabilitation Physician
14887NHMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monadnock Community Hospital Current Accepting new patients

Locations

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

Interoperability endpoints

  • Direct secure messaging: terrence.mcnamara@mhp.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monadnock Community HospitalPeterborough, NH, CCN 301309 Hospital Corporate Director Oct 25, 2023
Monadnock Community HospitalPeterborough, NH, CCN 30Z309 Hospital Corporate Director Oct 25, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1417042805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 OLD STREET RD",
            "address_2": "SUITE 200",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581265",
            "telephone_number": "603-924-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 OLD STREET RD",
            "address_2": "SUITE 200",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581265",
            "telephone_number": "603-924-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "TERRENCE",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "102519",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NH",
            "license": "14887",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

Verify at the official NPI Registry.