Michael Robert Kaczanowski, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

13968 Issued in NH

Practice address

8 Prospect St
North II
Nashua, NH 03060-3925

Phone

(603) 577-5355

Fax

(603) 577-5356

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Gastroenterology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
• Elliot Hospital Hospital, Manchester, NH, CCN 300012
• St Joseph Hospital Hospital, Nashua, NH, CCN 300011

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkaczanowski8317@direct.solutionhealth.org

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.

• Foundation Medical Partners Inc

  • Internal Medicine Physician
  • Nashua, NH
  • NPI 1033162037

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Foundation Medical Partners Inc.

  • Durable Medical Equipment & Medical Supplies
  • Amherst, NH
  • NPI 1679921472
  NPD
• Fairfield County Medical Services Inc

  • Specialist
  • Norwalk, CT
  • NPI 1134178577
  NPD (past)

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

• Southern NH Medical Center

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1245447994
  Care Compare affiliation Name & address match
• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1639371263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PROSPECT ST",
            "address_2": "NORTH II",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603925",
            "telephone_number": "603-577-5355",
            "fax_number": "603-577-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PROSPECT ST",
            "address_2": "NORTH II",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603925",
            "telephone_number": "603-577-5355",
            "fax_number": "603-577-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZANOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NH",
            "license": "13968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079568",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "RE6661",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith R. Duclair
• Galichet D Julus
• Lori Ann Juonis
• Derek T Jurus, D.O.
• Benoit Kabamba, MS
• Carissa J Kajenski, APRN, PMHNP-BC
• Mina Hojabr Kalali, DMD
• Kalil & Kress, P.a.
• Donna L. Kalil, DMD
• Michelle Kalil, DMD

• Gastroenterology Physician in Nashua, NH
• Providers in Nashua, NH by specialty
• Gastroenterology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.

Verify at the official NPI Registry.