Individual provider Active NPI

Peter J Dourdoufis, DO

  • Cardiovascular Disease Physician
  • Portsmouth, NH
National Provider Identifier
1528042553
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
10327 Issued in NH
Practice address
333 Borthwick Avenue
Suite 401
Portsmouth, NH 03801-7128
Phone
(603) 433-5300
Fax
(603) 433-0838
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 10327 NH Primary

Addresses

Primary practice location

333 Borthwick Avenue
Suite 401
Portsmouth, NH 03801-7128

Mailing address

333 Borthwick Avenue
Suite 401
Portsmouth, NH 03801-7128
Phone (603) 433-5300

Other identifiers 3

IdentifierTypeStateIssuer
30011604MedicaidNH
0403796YONH01OtherANTHEM
61411OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 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
I20110209000355 NH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496859969 Reassigns benefits to 2 organizations
I20160301000322 ME Practitioner - Cardiovascular Disease (Cardiology) 5496859969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

100 Eileen Dondero Foley Ave
Suite 300
Portsmouth, NH 03801-4597
Phone (603) 436-6115

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • York Hospital Hospital, York, ME, CCN 200020
  • Frisbie Memorial Hospital Hospital, Rochester, NH, CCN 300014
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

Merit-based Incentive Payment System (MIPS)

Final score
86.98 of 100Reported as individual
Quality
80.32
Promoting interoperability
98
Improvement activities
40
Cost
77.93

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10327NHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Cardiology Assoc Cardiovascular Disease Current Accepting new patients
Appledore Medical Group, Inc CurrentSince Apr 8, 2024 Accepting new patients
York Hospital CurrentSince Oct 14, 2015 Accepting new patients
Appledore Medical Group, Inc. Past Accepting new patients

Locations

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

100 Eileen Dondero Foley Ave
Ste 300
Portsmouth, NH 03801
Phone (603) 436-6115

333 Borthwick Ave
Ste 401
Portsmouth, NH 03801
Phone (603) 431-5858

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

21 Whitehall Rd
Ste 301
Rochester, NH 03867
Phone (603) 330-3040

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: peter.dourdoufis@hca6.eclinicaldirectplus.com

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.

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1528042553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVENUE",
            "address_2": "SUITE 401",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-433-5300",
            "fax_number": "603-433-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVENUE",
            "address_2": "SUITE 401",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-433-5300",
            "fax_number": "603-433-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOURDOUFIS",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "10327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011604",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0403796YONH01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "61411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.