Individual provider Active NPI

Jeffrey Hanissian, MD

  • Internal Medicine Physician
  • Woodsville, NH
National Provider Identifier
1619070919
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12602 Issued in NH
Practice address
90 Swiftwater Road
Cottage Hospital
Woodsville, NH 03785-2001
Phone
(603) 747-9000
Fax
(603) 747-0401
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12602 NH
Internal Medicine Physician 207R00000X 12602 NH Primary

Addresses

Primary practice location

90 Swiftwater Road
Cottage Hospital
Woodsville, NH 03785-2001

Mailing address

90 Swiftwater Road
Cottage Hospital
Woodsville, NH 03785-2001
Phone (603) 747-9000

Other identifiers 5

IdentifierTypeStateIssuer
1011922MedicaidVT
01Y008509NH03OtherNHPROVIDER ID
COTT0008186OtherNHPROVIDER ID
30205497MedicaidNH
4146981OtherNHPROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050826000362 NH Practitioner - Emergency MedicinePractitioner - Internal Medicine 1759312085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottage HospitalGroup PAC ID 1951219617, 29 clinicians

Practice addresses (Care Compare)

90 Swiftwater Rd
Woodsville, NH 03785-1421
Phone (603) 747-9000

Hospital & facility affiliations

  • Cottage Hospital Hospital, Woodsville, NH, CCN 301301

Merit-based Incentive Payment System (MIPS)

Final score
93.17 of 100Reported as group
Quality
84.29
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12602NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce J Lewis M.D. Current Accepting new patients
Valley Regional Hospital ,Inc. CurrentSince Oct 7, 2010 Accepting new patients
Cottage Hospital CurrentSince Dec 14, 2025 Accepting new patients
Valley Regional Hospital Inc. Internal Medicine Current Accepting new patients
Cottage Hospital Internal Medicine CurrentSince Dec 14, 2025 Accepting new patients
Valley Regional Hospital Inc. CurrentSince Oct 7, 2010 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

243 Elm St
Claremont, NH 03743
Phone (603) 542-7771

90 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-9000

Interoperability endpoints

  • Direct secure messaging: vrhjhanis@yourcarecommunity.org

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 4

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619070919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SWIFTWATER ROAD",
            "address_2": "COTTAGE HOSPITAL",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037852001",
            "telephone_number": "603-747-9000",
            "fax_number": "603-747-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SWIFTWATER ROAD",
            "address_2": "COTTAGE HOSPITAL",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037852001",
            "telephone_number": "603-747-9000",
            "fax_number": "603-747-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANISSIAN",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "12602",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "12602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011922",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "01Y008509NH03",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "COTT0008186",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30205497",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "4146981",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodsville, NH

Sources for this page

Verify at the official NPI Registry.