Individual provider Active NPI

Kanistha Verma, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Dover, NH
National Provider Identifier
1700190618
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
18149 Issued in NH
Practice address
10 Members Way Ste 300
Dover, NH 03820-5933
Phone
(603) 749-0913
Fax
(603) 749-0973
NPI assigned
Aug 3, 2010
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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 18149 NH
Sleep Medicine (Internal Medicine) Physician 207RS0012X 18149 NH Primary

Addresses

Primary practice location

10 Members Way Ste 300
Dover, NH 03820-5933

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2503

Other practice location 1

4502 E 41st, Rm 3C20
University of Oklahoma-Tulsa
Tulsa, OK 74135
Phone (918) 660-3460

Other practice location 2

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2503

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
I20170621002518 NH Practitioner - Internal MedicinePractitioner - Hospitalist 3779729504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

789 Central Ave
Level1
Dover, NH 03820-2526
Phone (603) 740-9713

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Jun 19, 2017 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jun 19, 2017 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Hospital Past Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

10 Members Way
Ste 300
Dover, NH 03820
Phone (603) 742-7222

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

789 Central Ave
#1
Dover, NH 03820
Phone (603) 609-6260

73 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 610-8050

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kanistha.verma@direct.stjohnhealthsystem.com
  • Direct secure messaging: verma.kanistha.wdh@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1700190618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-740-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY STE 300",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-749-0913",
            "fax_number": "603-749-0973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 E 41st, Rm 3C20",
            "address_2": "University of Oklahoma-Tulsa",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74135",
            "country_code": "US",
            "telephone_number": "918-660-3460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-740-2503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMA",
        "first_name": "KANISTHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "18149",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NH",
            "license": "18149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.