Individual provider Active NPI

Khushboo Munot, MD

  • Gastroenterology Physician
  • Portsmouth, NH
National Provider Identifier
1487932885
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
21242 Issued in NH
Practice address
330 Borthwick Ave Ste 311
Portsmouth, NH 03801-7112
Phone
(603) 692-2228
Fax
(603) 692-4748
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 21242 NH Primary

Addresses

Primary practice location

330 Borthwick Ave Ste 311
Portsmouth, NH 03801-7112

Mailing address

21 Clark Way
Somersworth, NH 03878-4401
Phone (603) 692-2228

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
I20210506001411 NH Practitioner - Gastroenterology 7416232947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Digestive Specialists PLLC 17 clinicians

Practice addresses (Care Compare)

330 Borthwick Ave
Suite 311
Portsmouth, NH 03801-7112
Phone (603) 433-2488

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Frisbie Memorial Hospital Hospital, Rochester, NH, CCN 300014
  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • York Hospital Hospital, York, ME, CCN 200020
  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy238
Upper gastrointestinal (GI) endoscopy for acid reflux442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21242NHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Digestive Specialists, PLLC Gastroenterology CurrentSince May 1, 2021 Accepting new patients

Locations

330 Borthwick Ave
Ste 311
Portsmouth, NH 03801
Phone (603) 433-2488

21 Clark Way
#108
Somersworth, NH 03878

21 Clark Way
Somersworth, NH 03878
Phone (603) 692-2228

Interoperability endpoints

  • Direct secure messaging: khushboomunot@atlanticdigestive.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72809

Organizations & group practices 1

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 8

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1487932885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CLARK WAY",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038784401",
            "telephone_number": "603-692-2228",
            "fax_number": "603-692-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 311",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017112",
            "telephone_number": "603-692-2228",
            "fax_number": "603-692-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOT",
        "first_name": "KHUSHBOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NH",
            "license": "21242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.