Individual provider Active NPI

Thomas S Pedersen, M.D.

  • Anesthesiology Physician
  • Concord, NH
National Provider Identifier
1750487682
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
12352 Issued in NH
Practice address
250 Pleasant St
Concord, NH 03301-2598
Phone
(603) 789-9103
Fax
(603) 227-7832
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 12352 NH Primary

Addresses

Primary practice location

250 Pleasant St
Concord, NH 03301-2598

Mailing address

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 789-9103

Other practice location 1

60 Commercial St Ste 201
Concord, NH 03301-5096
Phone (603) 789-9150

Other practice location 2

80 Highland St
Laconia, NH 03246-3235
Phone (603) 789-9103

Other practice location 3

501 South St
Box 2
Bow, NH 03304-3416
Phone (603) 224-4776

Other identifiers 3

IdentifierTypeStateIssuer
2250191OtherNHCIGNA
01Y007282NH01OtherNHANTHEM BCBS
30204821MedicaidNH

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
I20040901000868 NH Practitioner - Anesthesiology 7719952779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1997
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)

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

Hospital & facility affiliations

  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005

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
12352NHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Anesthesia Associates Professional Association Anesthesiology CurrentSince Jul 5, 2004 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

501 South St
#2
Bow, NH 03304
Phone (603) 224-4776

250 Pleasant St
Ste 2
Concord, NH 03301

1 Pillsbury St
Ste 202
Concord, NH 03301
Phone (603) 224-4776

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

264 Pleasant St
Concord, NH 03301

60 Commercial St
Ste 201
Concord, NH 03301
Phone (603) 789-9103

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

80 Highland St
Ste 2
Laconia, NH 03246

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

85 Spring St
Ste 401
Laconia, NH 03246
Phone (603) 230-1939

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1750487682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017559",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012598",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Commercial St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015096",
            "country_code": "US",
            "telephone_number": "603-789-9150",
            "fax_number": "603-227-7932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Highland St",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032463235",
            "country_code": "US",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 South St",
            "address_2": "Box 2",
            "address_purpose": "LOCATION",
            "city": "Bow",
            "state": "NH",
            "postal_code": "033043416",
            "country_code": "US",
            "telephone_number": "603-224-4776",
            "fax_number": "603-228-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "THOMAS",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NH",
            "license": "12352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2250191",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "01Y007282NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204821",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.