NPIMap

Individual provider Active NPI

Gueorgui D Dimov, MD

  • Family Medicine Physician
  • Exeter, NH
National Provider Identifier
1659488757
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13621 Issued in NH
Practice address
6 Hampton Rd
BLDG 3
Exeter, NH 03833-4854
Phone
(603) 775-0000
Fax
(603) 775-0247
NPI assigned
Aug 24, 2006
Last updated
Jun 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X EC05064 ME
Family Medicine Physician 207Q00000X 13621 NH Primary

Addresses

Primary practice location

6 Hampton Rd
BLDG 3
Exeter, NH 03833-4854

Mailing address

PO Box 655
Exeter, NH 03833-0655
Phone (603) 775-0000

Other identifiers 2

IdentifierTypeStateIssuer
NONEOtherMERESIDENT-NO PROV #
30207038MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070831000341 NH Practitioner - Family Practice 5698868982 Reassigns benefits to 3 organizations
I20160504000722 MA Practitioner - Internal Medicine 5698868982 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vibra Physicians LLCGroup PAC ID 8921233933, 30 clinicians
Gandt Healthcare, LLCGroup PAC ID 4284002817, 2 clinicians
Apogee Medical Group New Hampshire PCGroup PAC ID 4688021983, 26 clinicians
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians

Practice addresses (Care Compare)

111 Huntoon Memorial Hwy
Rochdale, MA 01542-1305
Phone (508) 892-6000

1199 John Fitch Hwy
Suite 9
Fitchburg, MA 01420-2026
Phone (617) 899-5017

172 Kinsley St
Nashua, NH 03060-3648
Phone (214) 592-1329

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

4499 Acushnet Ave
New Bedford, MA 02745-4707
Phone (508) 995-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.8 of 100Reported as group
Quality
79.92
Improvement activities
40
Cost
70.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
EC05064MEMDFamily Medicine Physician
13621NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Services LLC CurrentSince Oct 1, 2020 Accepting new patients
Apogee Medical Group New Hampshire PC CurrentSince Jan 1, 2024 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Aug 1, 2020 Accepting new patients
Henry Heywood Memorial Hospital Family Medicine Current Accepting new patients
Athol Memorial Hospital Incorporated Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Nes Medical Services of New England Inc CurrentSince Feb 8, 2022 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Aug 1, 2020 Accepting new patients
Vibra Physicians LLC CurrentSince Feb 13, 2016 Accepting new patients
G&T Healthcare, LLC CurrentSince Oct 1, 2022 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients
Vibra Hospital of Western Massachusetts, LLC Past Accepting new patients
1199 John Fitch Highway Operator, LLC Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-3511

1199 John Fitch Hwy
Fitchburg, MA 01420
Phone (978) 345-0146

1199 John Fitch Hwy
Ste 9
Fitchburg, MA 01420
Phone (617) 899-5017

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

4499 Acushnet Ave
New Bedford, MA 02745
Phone (508) 207-4274

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fitchburg HealthcareFitchburg, MA, CCN 225216 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 15, 2022
Nov 15, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1659488757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038330655",
            "telephone_number": "603-775-0000",
            "fax_number": "603-775-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HAMPTON RD",
            "address_2": "BLDG 3",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334854",
            "telephone_number": "603-775-0000",
            "fax_number": "603-775-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOV",
        "first_name": "GUEORGUI",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "EC05064",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "13621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENT-NO PROV #",
            "identifier": "NONE",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30207038",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.