Individual provider Active NPI

David Klebenov, M.D.

  • Family Medicine Physician
  • Salem, NH
National Provider Identifier
1427408335
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1017262 Issued in MA
Practice address
22 Keewaydin Dr
Salem, NH 03079-2839
Phone
(603) 685-6977
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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 1017262 MA Primary
Family Medicine Physician 207Q00000X RT-2980 NH

Addresses

Primary practice location

22 Keewaydin Dr
Salem, NH 03079-2839

Mailing address

22 Keewaydin Dr
Salem, NH 03079-2839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200129001125 NH Practitioner - Family Practice 9638464225 Reassigns benefits to 3 organizations
I20200504000313 TX Practitioner - Family Practice 9638464225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Harbor Homes, Inc.Group PAC ID 4587714779, shared by 3 NPIs, 14 clinicians

Practice addresses (Care Compare)

45 High St
Nashua, NH 03060-3312
Phone (603) 821-7788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1017262MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jun 30, 2022 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Mar 4, 2020 Accepting new patients
Harbor Homes, Inc CurrentSince Jun 12, 2025 Accepting new patients
Harbor Homes, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 30, 2022 Accepting new patients
Metro Treatment of New Hampshire, LP CurrentSince Oct 25, 2025 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Mar 4, 2020 Accepting new patients
RHG of New Hampshire PC Family Medicine CurrentSince May 31, 2025 Accepting new patients
Harbor Homes, Inc. Family Medicine Past Accepting new patients

Locations

615 Amherst St
Nashua, NH 03063
Phone (603) 821-7788

77 Northeastern Blvd
Nashua, NH 03062
Phone (603) 882-3616

45 High St
Nashua, NH 03060
Phone (603) 821-7788

22 Keewaydin Dr
Salem, NH 03079
Phone (603) 685-6977

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 9

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1427408335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 KEEWAYDIN DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 KEEWAYDIN DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792839",
            "telephone_number": "603-685-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBENOV",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "1017262",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "RT-2980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.