Individual provider Active NPI

Kenneth A Nizza, D.O.

  • Internal Medicine Physician
  • Manchester, NH
National Provider Identifier
1578593547
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS013670 Issued in PA
Practice address
1 Elliot Way
Manchester, NH 03103-3599
Phone
(603) 669-5300
NPI assigned
Jul 4, 2006
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS013670 PA Primary
Hospitalist Physician 208M00000X OS013670 PA

Addresses

Primary practice location

1 Elliot Way
Manchester, NH 03103-3599

Mailing address

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 669-5300

Other identifiers 8

IdentifierTypeStateIssuer
30035928OtherPAKEYSTONE MERCY
1892624OtherPABCBS
10168215001OtherPAAMERICHOICE
5398144OtherPACIGNA
1351474OtherPAAETNA HMO
2757672000OtherPABCBS
7394821OtherPAAETNA
1016821500001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NH, VT, ME4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20060922000262 PA Practitioner - HospitalistPractitioner - Internal Medicine 2264437318 Reassigns benefits to 5 organizations
I20221111001214 NH Practitioner - Internal Medicine 2264437318 Reassigns benefits to 3 organizations
I20221117002339 VT Practitioner - Internal MedicinePractitioner - Hospitalist 2264437318 Reassigns benefits to 3 organizations
I20230831004347 ME Practitioner - Internal Medicine 2264437318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013670PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Dec 18, 2023 Accepting new patients
Gifford Medical Center Inc CurrentSince Jan 25, 2024 Accepting new patients
Central Vermont Medical Center Inc Internal Medicine CurrentSince Sep 26, 2022 Accepting new patients
Maine Medical Services LLC Internal Medicine CurrentSince Sep 15, 2023 Accepting new patients
Allegheny Clinic Current Accepting new patients
Upmc Altoona CurrentSince Apr 1, 2015 Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Dec 22, 2021 Accepting new patients
Allegheny Clinic CurrentSince Mar 31, 2020 Accepting new patients
Elliot Professional Services Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Speare Memorial Hospital Current Accepting new patients
Catholic Medical Center CurrentSince Dec 18, 2023 Accepting new patients
Upmc Altoona CurrentSince Apr 1, 2015 Accepting new patients
Hospital Medicine Services of Maine LLC Hospitalist CurrentSince Sep 15, 2023 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jun 30, 2022 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jun 30, 2022 Accepting new patients
Speare Memorial Hospital CurrentSince Feb 28, 2024 Accepting new patients
Gifford Medical Center Inc CurrentSince Feb 4, 2026 Accepting new patients
Speare Memorial Hospital Hospitalist CurrentSince Feb 28, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Gifford Medical Center Inc. CurrentSince Jan 25, 2024 Accepting new patients
Allegheny Clinic Internal Medicine CurrentSince Mar 31, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Dec 22, 2021 Accepting new patients
Lima Gerontology Associates LLP Internal Medicine Past Accepting new patients
Central Vermont Medical Center Inc Past Accepting new patients
Elliot Hospital of the City of Manchester Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

97 Delaware Ave
Ste 103
Uniontown, PA 15401
Phone (412) 267-6255

201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Interoperability endpoints

  • Direct secure messaging: knizza143006@direct.solutionhealth.org
  • Direct secure messaging: knizza506395@direct.uvmhealth.org

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 26

Hospital & facility affiliations 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1578593547",
    "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": "031033502",
            "telephone_number": "603-669-5300"
        },
        {
            "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": "603-669-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZZA",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS013670",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS013670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30035928",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1892624",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "10168215001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5398144",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1351474",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2757672000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7394821",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016821500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.