Individual provider Active NPI

Adrienne Ruth Greenlaw, MD

  • Diagnostic Radiology Physician
  • Laconia, NH
National Provider Identifier
1720009566
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
10025 Issued in NH
Practice address
87 Spring St
Unit 101
Laconia, NH 03246-3135
Phone
(603) 524-3211
Fax
(603) 524-0089
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 10025 NH Primary

Addresses

Primary practice location

87 Spring St
Unit 101
Laconia, NH 03246-3135

Mailing address

87 Spring St
Unit 101
Laconia, NH 03246-3135
Phone (603) 524-3211

Other identifiers 3

IdentifierTypeStateIssuer
0385841OtherNHCIGNA
30010482MedicaidNH
0106390YONH02OtherNHANTHEM

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
I20050816000848 NH Practitioner - Diagnostic Radiology 8224005509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
X-Ray Professional AssociationGroup PAC ID 3375539927, 62 clinicians

Practice addresses (Care Compare)

2 /2 Beacon St
Concord, NH 03301-4447
Phone (603) 228-1521

Hospital & facility affiliations

  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
  • Concord Hospital- Franklin Hospital, Franklin, NH, CCN 301306
  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

Merit-based Incentive Payment System (MIPS)

Final score
92.3 of 100Reported as group
Quality
90.94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Professional Association Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Seacoast Radiology, PA Diagnostic Radiology PastSince Sep 12, 2021 Accepting new patients

Locations

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

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

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

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 9

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1720009566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SPRING ST",
            "address_2": "UNIT 101",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463135",
            "telephone_number": "603-524-3211",
            "fax_number": "603-524-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SPRING ST",
            "address_2": "UNIT 101",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463135",
            "telephone_number": "603-524-3211",
            "fax_number": "603-524-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLAW",
        "first_name": "ADRIENNE",
        "middle_name": "RUTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "10025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0385841",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010482",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0106390YONH02",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.