NPIMap

Individual provider Active NPI

Matthew K Libman, D.O.

  • Internal Medicine Physician
  • Nashua, NH
National Provider Identifier
1609263276
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18977 Issued in NH
Practice address
5 Dow Jones Ave
Nashua, NH 03062-3089
Phone
(603) 889-3667
Fax
(603) 886-1805
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 18977 NH Primary

Addresses

Primary practice location

5 Dow Jones Ave
Nashua, NH 03062-3089

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180807000578 NH Practitioner - Internal Medicine 0042525537 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

5 Dow Jones Ave
Nashua, NH 03062-3089
Phone (603) 889-3667

Hospital & facility affiliations

  • Vna Home Health and Hospice Services, Inc Home health agency, Manchester, NH, CCN 307003
  • Amedisys Home Health Home health agency, Portsmouth, NH, CCN 307006
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc. CurrentSince Oct 1, 2023 Accepting new patients
Catholic Medical Center Internal Medicine Current Accepting new patients
CMC D/B/a Urgent Care at Bedford Medical Park CurrentSince Aug 1, 2018 Accepting new patients
Catholic Medical Center CurrentSince Aug 1, 2018 Accepting new patients
Foundation Medical Partners Inc Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Catholic Medical Center CurrentSince Oct 20, 2018 Accepting new patients
Catholic Medical Center Internal Medicine CurrentSince Oct 20, 2018 Accepting new patients

Locations

188 State Route 101
Bedford, NH 03110
Phone (603) 314-4700

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

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

195 McGregor St
Ste 310
Manchester, NH 03102

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

57 Webster St
Manchester, NH 03104
Phone (603) 622-6491

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

5 Dow Jones Ave
Nashua, NH 03062
Phone (603) 889-3667

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1609263276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DOW JONES AVE",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623089",
            "telephone_number": "603-889-3667",
            "fax_number": "603-886-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBMAN",
        "first_name": "MATTHEW",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "18977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.