Individual provider Active NPI

John P. Thomas, MD

  • Family Medicine Physician
  • Goffstown, NH
National Provider Identifier
1619968609
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10974 Issued in NH
Practice address
89 South Mast Rd
Elliot Family Medicine at Glen Lake
Goffstown, NH 03045-6102
Phone
(603) 497-5661
Fax
(603) 497-5740
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10974 NH Primary

Addresses

Primary practice location

89 South Mast Rd
Elliot Family Medicine at Glen Lake
Goffstown, NH 03045-6102

Mailing address

89 South Mast Rd
Elliot Family Medicine at Glen Lake
Goffstown, NH 03045-6102
Phone (603) 497-5661

Other practice location 1

218 East Rd
Hampstead, NH 03841-5303
Phone (603) 329-5311

Other identifiers 9

IdentifierTypeStateIssuer
80184889OtherRR MEDICARE
712986OtherNHHPHC PIN
01YP02569NH02OtherNHANTHEM ACES #
H31983OtherNHANTHEM REFERRING UPN
10974OtherNHTUFTS PIN
1354314OtherNHCIGNA PIN
0102484OtherNHUHC PIN
2943602OtherNHAETNA PIN
30202004MedicaidNH

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
I20060113000745 NH Practitioner - Family Practice 9335163534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 15, 2025 Accepting new patients
State of New Hampshire CurrentSince Nov 2, 2020 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Elliot Professional Services CurrentSince May 16, 2008 Accepting new patients
NH Eye Associates PLLC Past Accepting new patients
Amoskeag Health Past Accepting new patients

Locations

36 Clinton St
Concord, NH 03301
Phone (603) 271-5075

218 East Rd
Hampstead, NH 03841
Phone (603) 329-5311

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

275 Mammoth Rd
Manchester, NH 03109
Phone (603) 663-8300

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

Organizations & group practices 6

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 1

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1619968609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SOUTH MAST RD",
            "address_2": "ELLIOT FAMILY MEDICINE AT GLEN LAKE",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030456102",
            "telephone_number": "603-497-5661",
            "fax_number": "603-497-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SOUTH MAST RD",
            "address_2": "ELLIOT FAMILY MEDICINE AT GLEN LAKE",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030456102",
            "telephone_number": "603-497-5661",
            "fax_number": "603-497-5740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 East Rd",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NH",
            "postal_code": "038415303",
            "country_code": "US",
            "telephone_number": "603-329-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOHN",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "10974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "80184889",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC PIN",
            "identifier": "712986",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ACES #",
            "identifier": "01YP02569NH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM REFERRING UPN",
            "identifier": "H31983",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PIN",
            "identifier": "10974",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "1354314",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PIN",
            "identifier": "0102484",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "2943602",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30202004",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goffstown, NH

Sources for this page

Verify at the official NPI Registry.