Individual provider Active NPI

Stephen G Klonel, DO

  • Family Medicine Physician
  • Jaffrey, NH
National Provider Identifier
1467424846
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12796 Issued in NH
Practice address
82 Peterborough St
Jaffrey, NH 03452-5860
Phone
(603) 532-8775
Fax
(603) 532-7482
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12796 NH Primary

Addresses

Primary practice location

82 Peterborough St
Jaffrey, NH 03452-5860

Mailing address

82 Peterborough St
Jaffrey, NH 03452-5860
Phone (603) 532-8775

Other identifiers 1

IdentifierTypeStateIssuer
30223741MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 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
I20050809000566 NH Practitioner - Family Practice 1052363660 Reassigns benefits to 1 organization
I20260202000116 MA Practitioner - Family Practice 1052363660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athol Memorial Hospital IncorporatedGroup PAC ID 7911959846, 81 clinicians

Practice addresses (Care Compare)

2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511

Hospital & facility affiliations

  • Monadnock Community Hospital Hospital, Peterborough, NH, CCN 301309
  • Athol Memorial Hospital Hospital, Athol, MA, CCN 221303
  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • Monadnock Community Hospital Nursing home, CCN 30Z309
  • Athol Memorial Hospital Nursing home, CCN 22Z303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Sep 1, 2014 Accepting new patients
Monadnock Orthopaedic Associates CurrentSince Oct 21, 2024 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
Heywood Medical Group Inc. Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Athol Memorial Hospital Incorporated Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
Catholic Medical Center CurrentSince Sep 1, 2014 Accepting new patients
Monadnock Community Hospital Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

82 Peterborough St
Jaffrey, NH 03452
Phone (603) 532-4200

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

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

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.

Hospital & facility affiliations 6

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1467424846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PETERBOROUGH ST",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034525860",
            "telephone_number": "603-532-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PETERBOROUGH ST",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034525860",
            "telephone_number": "603-532-8775",
            "fax_number": "603-532-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLONEL",
        "first_name": "STEPHEN",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "12796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30223741",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jaffrey, NH

Sources for this page

Verify at the official NPI Registry.