Kevin Connolly, DO

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

33449 Issued in NH

Practice address

20 Chambers Dr
Hooksett, NH 03106-1981

Phone

(603) 624-8652

NPI assigned

Jun 11, 2020

Last updated

Jul 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Family PracticeAlso: Sports Medicine

Education

University of New England, College of Osteo Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elliot Hospital Hospital, Manchester, NH, CCN 300012

Merit-based Incentive Payment System (MIPS)

Final score

95.71 of 100Reported as apm

Quality

87.58

Promoting interoperability

99.38

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.71 of 100Reported as apm

Quality

87.58

Promoting interoperability

99.38

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.connolly.1@15948.direct.athenahealth.com

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.

• Elliot Physicians Network

  • Family Medicine Physician
  • Manchester, NH
  • NPI 1831191659
  Medicare reassignment Care Compare group NPD
• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  Medicare reassignment Care Compare group NPD
• Elliot Hospital of the City of Manchester

  dba Elliot Pharmacy at Bedford

  • Community/Retail Pharmacy
  • Bedford, NH
  • NPI 1336638352
  NPD (past)
• Elliot Physicians Network

  dba Hampshire Internal Medicine

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1962493940
  NPD (past)

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

• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1710502182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHAMBERS DR FL 2",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061981",
            "telephone_number": "603-624-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHAMBERS DR",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061981",
            "telephone_number": "603-624-8652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Kimball Dr",
            "address_purpose": "LOCATION",
            "city": "Hooksett",
            "state": "NH",
            "postal_code": "031062603",
            "country_code": "US",
            "telephone_number": "603-641-5386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "KEVIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ME",
            "license": "TP20071",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD27102",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NH",
            "license": "33449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Cherry
• Paula Child
• Sylvia S Christian, DMD
• Robin Comiskey
• Compass of Hope LLC
• Carol E. Cook-Piscopo, RPT
• Robert E Cook
• Amy E. Crawford, CCC-SLP
• Darcy A Crisp, DC
• Tiffanie Cristofori, PHARM D

• Sports Medicine (Family Medicine) Physician in Hooksett, NH
• Providers in Hooksett, NH by specialty
• Sports Medicine (Family Medicine) Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.