Individual provider Active NPI

Marsha Kavanagh, MD

  • Ophthalmology Physician
  • Portsmouth, NH
National Provider Identifier
1467403659
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13969 Issued in NH
Practice address
155 Borthwick Ave
Suite 200 East
Portsmouth, NH 03801-7156
Phone
(603) 436-1773
Fax
(603) 433-6244
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13969 NH Primary

Addresses

Primary practice location

155 Borthwick Ave
Suite 200 East
Portsmouth, NH 03801-7156

Mailing address

155 Borthwick Ave
Suite 200 East
Portsmouth, NH 03801-7156
Phone (603) 436-1773

Other identifiers 2

IdentifierTypeStateIssuer
30207892MedicaidNH
00A835900MedicaidCA

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
I20090209000547 NH Practitioner - Ophthalmology 0143263434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyesight Ophthalmic Services PLLCGroup PAC ID 3971588609, 16 clinicians

Practice addresses (Care Compare)

155 Borthwick Ave
Suite 200E
Portsmouth, NH 03801-7156
Phone (603) 436-1773

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13969NHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyesight Ophthalmic Services PLLC Ophthalmology CurrentSince Sep 1, 2008 Accepting new patients
Osu Eye Physicians and Surgeons LLC Ophthalmology PastSince Sep 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ohio State University Hospitals Past Accepting new patients

Locations

155 Borthwick Ave
Ste 200E
Portsmouth, NH 03801

155 Borthwick Ave
Ste 200
Portsmouth, NH 03801

267 Route 108
Somersworth, NH 03878
Phone (603) 692-7500

Organizations & group practices 4

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1467403659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVE",
            "address_2": "SUITE 200 EAST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017156",
            "telephone_number": "603-436-1773",
            "fax_number": "603-433-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVE",
            "address_2": "SUITE 200 EAST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017156",
            "telephone_number": "603-436-1773",
            "fax_number": "603-433-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "MARSHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2023-11-29",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "13969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30207892",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A835900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.