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Individual provider Active NPI

David S Friedenberg, D.O.

  • Nephrology Physician
  • Manchester, NH
National Provider Identifier
1710975016
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
7869 Issued in NH
Practice address
1750 Elm Street
Suite 201C
Manchester, NH 03104-2903
Phone
(603) 641-5800
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 7869 NH Primary

Addresses

Primary practice location

1750 Elm Street
Suite 201C
Manchester, NH 03104-2903

Mailing address

1750 Elm Street
Suite 201C
Manchester, NH 03104-2903
Phone (603) 641-5800

Other identifiers 3

IdentifierTypeStateIssuer
0407212Y0NH01OtherNHANTHEM
10395OtherNHHARVARD PILGRIM
30005200MedicaidNH

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
I20050913000153 NH Practitioner - Nephrology 4385677236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Philadelphia College of Osteopathic Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, P. a.Group PAC ID 6608811708, 4 clinicians

Practice addresses (Care Compare)

1750 Elm St
Suite 201C
Manchester, NH 03104-2903
Phone (603) 621-5800

Hospital & facility affiliations

  • FMC Manchester Kidney Center Dialysis facility, Manchester, NH, CCN 302502
  • Fresenius Medical Care Londonderry Dialysis facility, Londonderry, NH, CCN 302510
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Concord Hospital Hospital, Concord, NH, CCN 300001

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, P. a. Nephrology CurrentSince Jun 20, 1989 Accepting new patients
Nephrology Associates Medical Group Inc Nephrology Past Accepting new patients

Locations

248 Pleasant St
Ste G300
Concord, NH 03301
Phone (603) 224-3901

1750 Elm St
Ste 201C
Manchester, NH 03104
Phone (603) 621-5800

Organizations & group practices 2

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 7

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1710975016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 ELM STREET",
            "address_2": "SUITE 201C",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042903",
            "telephone_number": "603-641-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ELM STREET",
            "address_2": "SUITE 201C",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042903",
            "telephone_number": "603-641-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDENBERG",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NH",
            "license": "7869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0407212Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "10395",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005200",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.