Active NPI
Patrick Passarelli, MD
- Infectious Disease Physician
- Lebanon, NH
National Provider Identifier
1629465448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 35310
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-0001 - Phone
- (603) 650-5000
- NPI assigned
- Apr 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 305194 | NY | |
| Hospitalist Physician | 208M00000X | 305194 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Infectious Disease Physician | 207RI0200X | 35310 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-0001
Mailing address
PO Box 810
Hanover, NH 03755-0810
Other practice location 1
600 Roe Ave Ste 4
Elmira, NY 14905-1629
Phone (607) 737-7771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06052964 | Medicaid | NY | |
| 103795537 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Nebraska College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Court St
Lebanon, NH 03766-1358
Phone (603) 650-2651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35310 | NH | MD | Infectious Disease Physician |
| 305194 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Pediatrics | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients |
Locations
5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567
1 Court St
Lebanon, NH 03766
Phone (603) 255-3877
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lebanon, NH
- NPI 1124681846
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1629465448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810",
"city": "HANOVER",
"state": "NH",
"postal_code": "037550810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-650-5000"
}
],
"practiceLocations": [
{
"address_1": "600 Roe Ave Ste 4",
"address_purpose": "LOCATION",
"city": "Elmira",
"state": "NY",
"postal_code": "149051629",
"country_code": "US",
"telephone_number": "607-737-7771",
"fax_number": "607-271-3686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASSARELLI",
"first_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-20",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "305194",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "305194",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NH",
"license": "35310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06052964",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103795537",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.