Active NPI
Christopher B. Dicroce, M.D.
- Emergency Medicine Physician
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20470
- Practice address
- 1 Elliot Way
Manchester, NH 03103-3599 - Phone
- (603) 663-4919
- Fax
- (603) 663-4949
- NPI assigned
- Apr 28, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 277968 | MA | |
| Emergency Medicine Physician | 207P00000X | 20470 | NH | Primary |
Addresses
Primary practice location
1 Elliot Way
Manchester, NH 03103-3599
Mailing address
1 Elliot Way
Manchester, NH 03103-3599
Phone (603) 663-4919
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 421-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110115441A | Medicaid | MA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Pennsylvania State University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484
185 Queen City Ave
Manchester, NH 03101-7121
Phone (603) 314-6900
25 Leavey Dr
Bedford, NH 03110-4437
Phone (603) 663-3740
40 Butrrick Rd
Londonderry, NH 03053-3381
One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669
Hospital & facility affiliations
- Elliot Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20470 | NH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Professional Services | Emergency Medicine | Current | Accepting new patients |
Locations
185 Queen City Ave
Manchester, NH 03101
Phone (603) 314-6900
1 Elliot Way
Unit 1
Manchester, NH 03103
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
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.
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1538514435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELLIOT WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031033599",
"telephone_number": "603-663-4919",
"fax_number": "603-663-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELLIOT WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031033599",
"telephone_number": "603-663-4919",
"fax_number": "603-663-4949"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-421-1400",
"fax_number": "508-421-1490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICROCE",
"first_name": "CHRISTOPHER",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-28",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "277968",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "20470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110115441A",
"state": "MA"
}
],
"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 Jun 16, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.