NPIMap

Individual provider Active NPI

Alexander Brian Granok, MD

  • Infectious Disease Physician
  • Merrimack, NH
National Provider Identifier
1427010636
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
11273 Issued in NH
Practice address
399 DW Hwy
Merrimack, NH 03054-4112
Phone
(603) 429-1611
Fax
(603) 429-1285
NPI assigned
Apr 4, 2006
Last updated
May 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 11273 NH Primary

Addresses

Primary practice location

399 DW Hwy
Merrimack, NH 03054-4112

Mailing address

399 DW Hwy
Merrimack, NH 03054-4112
Phone (603) 429-1611

Other identifiers 3

IdentifierTypeStateIssuer
01Y003248NH01OtherNHANTHEM BLUE CROSS
30201524MedicaidNH
011273OtherMATUFTS HEALTH PLAN

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
I20060210000266 NH Practitioner - Infectious Disease 1658386750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of New Mexico School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

399 Daniel Webster Highwy
Infectious Disease
Merrimack, NH 03054-2748
Phone (603) 429-1611

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc Infectious Disease CurrentSince Aug 1, 2001 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 1, 2001 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 1, 2001 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Aug 1, 2001 Accepting new patients
Eastern Maine Medical Center Past Accepting new patients
Eastern Maine Medical Center PastSince Nov 15, 2013 Accepting new patients

Locations

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

399 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 429-1611

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

10 Prospect St
Nashua, NH 03060
Phone (603) 578-9909

22 Cotton Rd
Nashua, NH 03063
Phone (603) 899-6147

2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170

38 Tyler St
Nashua, NH 03060
Phone (603) 882-2921

Interoperability endpoints

  • Direct secure messaging: agranok1257@direct.solutionhealth.org

Organizations & group practices 6

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 7

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1427010636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 DW HWY",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544112",
            "telephone_number": "603-429-1611",
            "fax_number": "603-429-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 DW HWY",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544112",
            "telephone_number": "603-429-1611",
            "fax_number": "603-429-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANOK",
        "first_name": "ALEXANDER",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NH",
            "license": "11273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "01Y003248NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201524",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "011273",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimack, NH

Sources for this page

Verify at the official NPI Registry.