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

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 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (429 clinicians)

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 Hospital · Manchester, NH · CCN 300012
  • Monadnock Community Hospital Hospital · Peterborough, NH · CCN 301309
  • St Joseph Hospital Hospital · Nashua, NH · CCN 300011
  • North Shore Medical Center - Hospital · Salem, MA · CCN 220035
  • Mary Hitchcock Memorial Hospital Hospital · Lebanon, NH · CCN 300003

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 IDStateProvider typePAC IDDetails
I20241218002587 NH Practitioner - Endocrinology 3678868866 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33596NHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services Internal Medicine Current
since Dec 1, 2024
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

  • Direct secure messaging: kanwar170149@direct.solutionhealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 25, 2024.

{
    "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

All providers in Bedford, NH · Endocrinology, Diabetes & Metabolism Physician in New Hampshire

Sources for this page

Verify at the official NPI Registry.