John S Boornazian, M.D.
Individual provider Active NPI Internal Medicine Physician · Wolfeboro, NH
NPI 1578561908 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1578561908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 7041 (NH)
- Practice address
- 240 S Main St
Wolfeboro, NH 03894-4411 - Phone
- (603) 569-7500
- NPI assigned
- Jul 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.17 of 100
- Quality
- 47.69
- Improvement activities
- 40
- Cost
- 79.8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040507000814 | NH | Practitioner - Internal Medicine | 2769471598 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huggins Hospital | Current |
Accepting new patients | |
| Huggins Hospital | Current |
Accepting new patients |
Locations
240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093
240 S Main St
Ste J
Wolfeboro, NH 03894
Phone (603) 569-7588
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7041 | NH | Yes |
Addresses
Primary practice location
240 S Main St
Wolfeboro, NH 03894-4411
Mailing address
240 S Main St
Wolfeboro, NH 03894-4411
Phone (603) 569-6994
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000421 | Medicaid | NH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://hugginshospitalxdr.meditech.cloud/services/HUGMA/HUGLIVE2402N/MAASLIVE/DIR | Direct |
Other providers in Wolfeboro, NH
- William B Barton
- Cymande A Baxter-Rogers
- Elizabeth Nancy Bean
- Samantha Blaisdell
- Ellen Alexina Boone
- Martin J Boucher
- Michael R Bowen
- Meagan C Breining
- Brewster Academy
- Bridgeway Counseling
All providers in Wolfeboro, NH · Internal Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.