Individual provider Active NPI

Donald E. Salvatore, MD

  • Pediatrics Physician
  • Manchester, NH
National Provider Identifier
1487644829
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9171 Issued in NH
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

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0109657YPNH01OtherNHANTHEM ACES PIN
2127OtherNHCIGNA PIN
F67039OtherNHHPHC
P667617OtherNHOXFORD PIN
30006964MedicaidNH
12-40732OtherNHUHC PIN
2192446OtherNHAETNA PIN
20169YOtherNHANTHEM REFERRING RAN
406455OtherNHTUFTS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412000275 NH Practitioner - Pediatric Medicine 0345234688 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9171NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Physicians Network Pediatrics CurrentSince Mar 1, 2011 Accepting new patients
Elliot Professional Services CurrentSince Mar 1, 2020 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.

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

Verify at the official NPI Registry.