NPIMap

Individual provider Active NPI

David De Gijsel, M.D.

  • Infectious Disease Physician
  • Lebanon, NH
National Provider Identifier
1740579176
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
18235 Issued in NH
Practice address
1 Medical Center Dr
DHMC Section of Infectious Disease
Lebanon, NH 03756-1000
Phone
(603) 650-6060
NPI assigned
Apr 6, 2011
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 18235 NH
Infectious Disease Physician 207RI0200X 18235 NH Primary

Addresses

Primary practice location

1 Medical Center Dr
DHMC Section of Infectious Disease
Lebanon, NH 03756-1000

Mailing address

1 Medical Center Dr
DHMC
Lebanon, NH 03756-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT, MA, ME, NC5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190718002842 NH Practitioner - Infectious DiseasePractitioner - Internal Medicine 9739351909 Reassigns benefits to 3 organizations
I20210308001133 VT Practitioner - Internal Medicine 9739351909
I20220103000517 MA Practitioner - Internal Medicine 9739351909 Reassigns benefits to 1 organization
I20241104002470 ME Practitioner - Infectious DiseasePractitioner - Addiction Medicine 9739351909 Reassigns benefits to 1 organization
I20241105000067 NC Practitioner - Infectious Disease 9739351909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians
Belonging Medical Group PLLCGroup PAC ID 8022443878, 39 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

1900 W Park Dr
Suite 280
Westborough, MA 01581-3919
Phone (866) 679-0831

2501 Bragg Blvd
Suite D
Fayetteville, NC 28303-4141
Phone (866) 679-0831

7 Oak Hill Ter
Suite 205
Scarborough, ME 04074-8996
Phone (866) 679-0831

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Internal Medicine CurrentSince Jun 7, 2019 Accepting new patients
Dartmouth-Hitchcock Clinic Internal Medicine CurrentSince Jun 7, 2019 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 7, 2019 Accepting new patients
Belonging Medical Group PLLC Internal Medicine CurrentSince Aug 19, 2019 Accepting new patients

Locations

1900 W Park Dr
Ste 280
Westborough, MA 01581
Phone (508) 983-1425

7 Oak Hill Ter
Ste 205
Scarborough, ME 04074

2501 Bragg Blvd
Ste D
Fayetteville, NC 28303

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

25 Green St
Lebanon, NH 03766
Phone (802) 478-0597

5 S Main St
Ste 302
White River Junction, VT 05001

Interoperability endpoints

  • Direct secure messaging: ddegijsel235168@direct.dartmouth-hitchcock.org

Organizations & group practices 4

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 10

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1740579176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC SECTION OF INFECTIOUS DISEASE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GIJSEL",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NH",
            "license": "18235",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NH",
            "license": "18235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.