Individual provider Active NPI

Vlasta F Zdrnja, M.D.

  • Internal Medicine Physician
  • Manchester, NH
National Provider Identifier
1629016019
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12446 Issued in NH
Practice address
775 South Main Street
Medical Group of Manchester
Manchester, NH 03102-5103
Phone
(603) 663-7300
Fax
(603) 663-7333
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2002021785 MO
Internal Medicine Physician 207R00000X 12446 NH Primary

Addresses

Primary practice location

775 South Main Street
Medical Group of Manchester
Manchester, NH 03102-5103

Mailing address

195 McGregor Street
Catholic Medical Center
Manchester, NH 03102
Phone (603) 663-7852

Other identifiers 5

IdentifierTypeStateIssuer
01YP07684NH01OtherNHANTHEM BLUE CROSS
201628122OtherNHCIGNA
AA23297OtherNHHARVARD PILGRIM
30204721MedicaidNH
5551704OtherNHFIRST HEALTH

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
I20041026000803 NH Practitioner - Internal Medicine 8628039260 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass General Brigham Medical Group, Inc.Group PAC ID 3971987108, 140 clinicians

Practice addresses (Care Compare)

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002021785MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group, Inc. Internal Medicine CurrentSince Sep 6, 2022 Accepting new patients
Catholic Medical Center CurrentSince Apr 11, 2013 Accepting new patients
Catholic Medical Center Internal Medicine CurrentSince Apr 11, 2013 Accepting new patients
Vlasta Zdrnja MD PLLC Internal Medicine CurrentSince Jan 1, 1990 Accepting new patients

Locations

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

195 McGregor St
Ste 310
Manchester, NH 03102

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

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

240 S Main St
#I
Wolfeboro, NH 03894
Phone (603) 569-0408

240 S Main St
Ste A
Wolfeboro, NH 03894
Phone (603) 569-7500

240 S Main St
Ste I
Wolfeboro, NH 03894
Phone (603) 569-0408

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

240 S Main St
Ste J
Wolfeboro, NH 03894
Phone (603) 569-7588

Organizations & group practices 5

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1629016019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MCGREGOR STREET",
            "address_2": "CATHOLIC MEDICAL CENTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03102",
            "telephone_number": "603-663-7852",
            "fax_number": "603-663-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SOUTH MAIN STREET",
            "address_2": "MEDICAL GROUP OF MANCHESTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025103",
            "telephone_number": "603-663-7300",
            "fax_number": "603-663-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDRNJA",
        "first_name": "VLASTA",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2002021785",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "12446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "01YP07684NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "201628122",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA23297",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204721",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5551704",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.