NPIMap

Individual provider Active NPI

Jeffrey M Zimmerman, MD

  • Otolaryngology Physician
  • Manchester, NH
National Provider Identifier
1679579023
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
11946 Issued in NH
Practice address
30 Canton St
Ste 2
Manchester, NH 03103-3524
Phone
(603) 622-3623
Fax
(603) 625-5483
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 11946 NH Primary

Addresses

Primary practice location

30 Canton St
Ste 2
Manchester, NH 03103-3524

Mailing address

30 Canton St
Ste 2
Manchester, NH 03103-3524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060206000031 NH Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 6507870094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, shared by 2 NPIs, 1,445 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 669-5300

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

30 Canton St
Manchester, NH 03103-3524
Phone (603) 622-3623

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 19, 2016 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jul 1, 2014 Accepting new patients
Dartmouth-Hitchcock Clinic Otolaryngology CurrentSince Jul 1, 2014 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 19, 2016 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Ear Nose and Throat Specialists of Southern NH Otolaryngology Past Accepting new patients

Locations

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

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

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

30 Canton St
Ste 2
Manchester, NH 03103
Phone (603) 622-3623

Interoperability endpoints

  • Direct secure messaging: jzimmerman149317@direct.dartmouth-hitchcock.org

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 3

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1679579023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CANTON ST",
            "address_2": "STE 2",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CANTON ST",
            "address_2": "STE 2",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033524",
            "telephone_number": "603-622-3623",
            "fax_number": "603-625-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "11946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.