Individual provider Active NPI

Steven H Kaitz, MD

  • Family Medicine Physician
  • Pembroke, NH
National Provider Identifier
1730292103
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7616 Issued in NH
Practice address
48 Glass St
Pembroke, NH 03275-1506
Phone
(603) 485-7788
NPI assigned
Aug 17, 2006
Last updated
Oct 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7616 NH Primary

Addresses

Primary practice location

48 Glass St
Pembroke, NH 03275-1506

Mailing address

48 Glass St
Pembroke, NH 03275-1506
Phone (603) 485-7788

Other identifiers 2

IdentifierTypeStateIssuer
40002830MedicaidNH
0105530YPNH01OtherNHANTHEM

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
I20071023000156 NH Practitioner - Family Practice 6204922206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Harvard Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

246 Pleasant St
Concord, NH 03301-2548
Phone (603) 228-7200

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7616NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Aug 30, 1990 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Concord Hospital, Inc. CurrentSince Aug 30, 1990 Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: steven.kaitz@glacecentral.com

Organizations & group practices 3

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 1

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1730292103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 GLASS ST",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032751506",
            "telephone_number": "603-485-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 GLASS ST",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032751506",
            "telephone_number": "603-485-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAITZ",
        "first_name": "STEVEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "7616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40002830",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0105530YPNH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NH

Sources for this page

Verify at the official NPI Registry.