Active NPI
Michael Desimone, M.D.
- Gastroenterology Physician
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 38916
- Practice address
- 185 Queen City Ave
Manchester, NH 03101-7121 - Phone
- (603) 314-6900
- Fax
- (603) 314-6909
- NPI assigned
- Apr 12, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 38916 | NH | Primary |
Addresses
Primary practice location
185 Queen City Ave
Manchester, NH 03101-7121
Mailing address
185 Queen City Ave
Manchester, NH 03101-7121
Phone (603) 314-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2013
- 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
45 A Discovery Way
Acton, MA 01720-4482
Phone (978) 429-2010
One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669
Hospital & facility affiliations
- Emerson Hospital -
- Elliot Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 64 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 71 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38916 | NH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerson Hospital | Current | Accepting new patients | |
| Emerson Practice Associates, Inc. | Current | Accepting new patients | |
| Middlesex Gastroenterolgy,P.C. | Current | Accepting new patients |
Locations
45B Discovery Way
Acton, MA 01720
Phone (508) 772-3547
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- desimone.michael.epho@direct.partners.masshiway.net
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.
-
- Specialist
- Acton, MA
- NPI 1992845911
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
-
- General Acute Care Hospital
- Concord, MA
- NPI 1467587881
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1609219369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 QUEEN CITY AVE",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031017121",
"telephone_number": "603-314-6900",
"fax_number": "603-314-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 QUEEN CITY AVE",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031017121",
"telephone_number": "603-314-6900",
"fax_number": "603-314-6909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIMONE",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-12",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NH",
"license": "38916",
"primary": true
}
],
"identifiers": [],
"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 May 5, 2026; 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.