Individual provider Active NPI

Sachin B. Dave, MD

  • Neurology Physician
  • Nashua, NH
National Provider Identifier
1740482389
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
13740 Issued in NH
Practice address
17 Prospect St Ste N202
Nashua, NH 03060
Phone
(603) 577-5300
Fax
(603) 577-5305
NPI assigned
Jun 5, 2007
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 13740 NH Primary
Clinical Neurophysiology Physician 2084N0600X 13740 NH

Addresses

Primary practice location

17 Prospect St Ste N202
Nashua, NH 03060

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900

Other practice location 1

454 Old Street Rd
Monadnock Community Hospital
Peterborough, NH 03458-1200
Phone (603) 924-4687

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
I20081017000453 NH Practitioner - Neurology 7911065099 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Dec 1, 2015 Accepting new patients
Catholic Medical Center CurrentSince Dec 1, 2015 Accepting new patients
Catholic Medical Center CurrentSince Aug 15, 2016 Accepting new patients

Locations

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

57 Webster St
Manchester, NH 03104
Phone (603) 622-6491

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1740482389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROSPECT ST STE N202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03060",
            "telephone_number": "603-577-5300",
            "fax_number": "603-577-5305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "454 Old Street Rd",
            "address_2": "Monadnock Community Hospital",
            "address_purpose": "LOCATION",
            "city": "Peterborough",
            "state": "NH",
            "postal_code": "034581200",
            "country_code": "US",
            "telephone_number": "603-924-4687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE",
        "first_name": "SACHIN",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "13740",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NH",
            "license": "13740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.