Kanwal Anwar, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Bedford, NH
NPI 1619329976 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1619329976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 33596 (NH)
- Practice address
- 25 Leavy Dr FL 2
Bedford, NH 03110-4437 - Phone
- (603) 663-3134
- NPI assigned
- Jul 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elliot Professional Services
Practice addresses (Care Compare)
1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484
25 Leavey Dr
Bedford, NH 03110-4437
Phone (603) 663-3740
One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669
Hospital & facility affiliations
- Elliot Hospital
- Monadnock Community Hospital
- St Joseph Hospital
- North Shore Medical Center -
- Mary Hitchcock Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241218002587 | NH | Practitioner - Endocrinology | 3678868866 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33596 | NH | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Professional Services | Internal Medicine | Current |
Accepting new patients |
Locations
25 Leavey Dr
Bedford, NH 03110
Phone (603) 472-7233
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
Interoperability endpoints
- kanwar170149@direct.solutionhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 267225 | MA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 267225 | MA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 33596 | NH | Yes |
Addresses
Primary practice location
25 Leavy Dr FL 2
Bedford, NH 03110-4437
Mailing address
25 Leavy Dr FL 2
Bedford, NH 03110-4437
Phone (603) 663-3134
NPI Registry JSON
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1619329976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 LEAVY DR FL 2",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031104437",
"telephone_number": "603-663-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LEAVY DR FL 2",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031104437",
"telephone_number": "603-663-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANWAR",
"first_name": "KANWAL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "267225",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MA",
"license": "267225",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NH",
"license": "33596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
- Anchor Point Counseling, PLLC
- Andy Boyds Inhome Medical Inc West
- Elizabeth J Angelakis
- Kristina Anthony
- Erika Richardson Antonsson
- David Daniel Anzel
- Apple Therapy Services
- Sergio M Arambulo
- Koray Tolga Arin
- Samantha Dean Arsenault
All providers in Bedford, NH · Endocrinology, Diabetes & Metabolism Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.