Active NPI
Roger B Nowak, MD
- Orthopaedic Surgery Physician
- Hampton, NH
National Provider Identifier
1417904343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 10688
- Practice address
- 55 High St Ste 301
Hampton, NH 03842-2213 - Phone
- (603) 770-2633
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 10688 | NH | |
| Orthopaedic Surgery Physician | 207X00000X | 10688 | NH | Primary |
Addresses
Primary practice location
55 High St Ste 301
Hampton, NH 03842-2213
Mailing address
55 High St Ste 301
Hampton, NH 03842-2213
Phone (603) 967-8033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3076273 | Medicaid | NH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- George Washington University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
55 High St
Suite 301
Hampton, NH 03842-2213
Phone (603) 967-8033
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 31 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10688 | NH | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nowak Orthopedic Associates, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
55 High St
Ste 301
Hampton, NH 03842
Phone (603) 601-7762
Interoperability endpoints
- https://api.platform.athenahealth.com/22796/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Hampton, NH
- NPI 1316533755
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Exeter, NH
- NPI 1437158433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1417904343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HIGH ST STE 301",
"city": "HAMPTON",
"state": "NH",
"postal_code": "038422213",
"telephone_number": "603-967-8033",
"fax_number": "603-601-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HIGH ST STE 301",
"city": "HAMPTON",
"state": "NH",
"postal_code": "038422213",
"telephone_number": "603-770-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "ROGER",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NH",
"license": "10688",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NH",
"license": "10688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3076273",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.