Individual provider Active NPI

John Mirabello, MD

  • Obstetrics & Gynecology Physician
  • Rochester, NH
National Provider Identifier
1710959077
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11216 Issued in NH
Practice address
21 Whitehall Rd
Suite 201
Rochester, NH 03867-3236
Phone
(603) 335-8830
Fax
(603) 332-3658
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 11216 NH
Obstetrics & Gynecology Physician 207V00000X 11216 NH Primary

Addresses

Primary practice location

21 Whitehall Rd
Suite 201
Rochester, NH 03867-3236

Mailing address

35 Cotton Hill Rd
Belmont, NH 03220-3300
Phone (603) 528-4229

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
I20050321000093 NH Practitioner - Obstetrics/Gynecology 6608768973 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

12 Kingsbury St
Keene, NH 03431-3825
Phone (800) 683-8313

40 Winter St
Suite 204
Rochester, NH 03867-3139
Phone (800) 683-8313

734 N Main St
Laconia, NH 03246-2777
Phone (603) 528-1855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11216NHMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Concord Hospital, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Concord Hospital-Laconia Obstetrics & Gynecology CurrentSince May 17, 2023 Accepting new patients
Recover Together, LLC CurrentSince Oct 1, 2020 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Recover Together, Inc. Obstetrics & Gynecology CurrentSince Oct 1, 2020 Accepting new patients
Concord Hospital-Laconia Past Accepting new patients
LRG Healthcare Past Accepting new patients

Locations

Dept CH17590
Palatine, IL 60055

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

12 Kingsbury St
Keene, NH 03431
Phone (603) 352-0165

734 N Main St
Laconia, NH 03246
Phone (603) 527-1855

724 N Main St
Laconia, NH 03246
Phone (603) 524-5151

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

40 Winter St
Ste 204
Rochester, NH 03867
Phone (603) 556-8892

Organizations & group practices 8

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 2

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1710959077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COTTON HILL RD",
            "city": "BELMONT",
            "state": "NH",
            "postal_code": "032203300",
            "telephone_number": "603-528-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WHITEHALL RD",
            "address_2": "SUITE 201",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673236",
            "telephone_number": "603-335-8830",
            "fax_number": "603-332-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABELLO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NH",
            "license": "11216",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "11216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.