Active NPI
Donald E. Salvatore, MD
- Pediatrics Physician
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9171
- Practice address
- 275 Mammoth Road
Suite 2
Manchester, NH 03109 - Phone
- (603) 663-8300
- Fax
- (603) 663-8349
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9171 | NH | Primary |
Addresses
Primary practice location
275 Mammoth Road
Suite 2
Manchester, NH 03109
Mailing address
275 Mammoth Road
Suite 2
Manchester, NH 03109
Phone (603) 663-8300
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109657YPNH01 | Other | NH | ANTHEM ACES PIN |
| 2127 | Other | NH | CIGNA PIN |
| F67039 | Other | NH | HPHC |
| P667617 | Other | NH | OXFORD PIN |
| 30006964 | Medicaid | NH | |
| 12-40732 | Other | NH | UHC PIN |
| 2192446 | Other | NH | AETNA PIN |
| 20169Y | Other | NH | ANTHEM REFERRING RAN |
| 406455 | Other | NH | TUFTS PIN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9171 | NH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Physicians Network | Pediatrics | Current | Accepting new patients |
| Elliot Professional Services | Current | Accepting new patients | |
| Elliot Physicians Network | Past | Accepting new patients |
Locations
25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392
4 Elliot Way
Ste 105
Manchester, NH 03103
Phone (603) 626-5113
275 Mammoth Rd
Manchester, NH 03109
Phone (603) 663-8300
275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222
275 Mammoth Rd
Unit 1
Manchester, NH 03109
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
275 Mammoth Rd
Ste 2
Manchester, NH 03109
Phone (603) 663-8300
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
-
dba Hampshire Internal Medicine
- Internal Medicine Physician
- Manchester, NH
- NPI 1962493940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1487644829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 MAMMOTH ROAD",
"address_2": "SUITE 2",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03109",
"telephone_number": "603-663-8300",
"fax_number": "603-663-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MAMMOTH ROAD",
"address_2": "SUITE 2",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03109",
"telephone_number": "603-663-8300",
"fax_number": "603-663-8349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALVATORE",
"first_name": "DONALD",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NH",
"license": "9171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ACES PIN",
"identifier": "0109657YPNH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "2127",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "F67039",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PIN",
"identifier": "P667617",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30006964",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN",
"identifier": "12-40732",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "2192446",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM REFERRING RAN",
"identifier": "20169Y",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PIN",
"identifier": "406455",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.