Individual provider Active NPI

Anh L. Ngo, M.D.

  • Interventional Pain Medicine Physician
  • Newington, NH
National Provider Identifier
1609076066
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
19737 Issued in NH
Practice address
101 Shattuck Way Ste 6
Newington, NH 03801-7876
Phone
(603) 778-9921
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 12354 NV
Anesthesiology Physician 207L00000X A91765 CA
Interventional Pain Medicine Physician 208VP0014X 19737 NH Primary

Addresses

Primary practice location

101 Shattuck Way Ste 6
Newington, NH 03801-7876

Mailing address

101 Shattuck Way Ste 6
Newington, NH 03801-7876
Phone (949) 201-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20161018002126 MA Practitioner - Anesthesiology 0941396691 Reassigns benefits to 2 organizations
I20220815002337 NH Practitioner - Pain Management 0941396691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialty Institute PLLCGroup PAC ID 0941683551, 6 clinicians

Practice addresses (Care Compare)

101 Shattuck Way
Suite 6
Newington, NH 03801-7876
Phone (603) 778-9921

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91765CAMDAnesthesiology Physician
12354NVMDAnesthesiology Physician
19737NHMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Institute PLLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Pain Surgery Center Limited Liability Company CurrentSince Dec 1, 2023 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. Interventional Pain Medicine CurrentSince Sep 1, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Anesthesiology CurrentSince Sep 1, 2016 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Sep 1, 2016 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology PastSince Feb 2, 2020 Accepting new patients
Reiichi Iizuka, M.D. CHTD. Anesthesiology Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

101 Shattuck Way
Ste 7
Portsmouth, NH 03801
Phone (603) 778-9921

101 Shattuck Way
Ste 6
Portsmouth, NH 03801
Phone (603) 383-2020

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1609076066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHATTUCK WAY STE 6",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017876",
            "telephone_number": "949-201-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SHATTUCK WAY STE 6",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017876",
            "telephone_number": "603-778-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "ANH",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "12354",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A91765",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NH",
            "license": "19737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, NH

Sources for this page

Verify at the official NPI Registry.