Individual provider Active NPI

Ray Earl Wilt III, DO

  • Family Medicine Physician
  • Rochester, NH
National Provider Identifier
1770757692
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15010 Issued in NH
Practice address
21 Whitehall Road
Suite 301
Rochester, NH 03867
Phone
(603) 692-6066
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS014529 PA
Family Medicine Physician 207Q00000X 15010 NH Primary

Addresses

Primary practice location

21 Whitehall Road
Suite 301
Rochester, NH 03867

Mailing address

21 Whitehall Road
Suite 301
Rochester, NH 03867
Phone (603) 692-6066

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
I20110118001268 NH Practitioner - Family Practice 8426109083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

21 Whitehall Rd
Rochester, NH 03867-3236

330 Borthwick Ave
Suite 308
Portsmouth, NH 03801-7112
Phone (603) 431-5242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15010NHMDFamily Medicine Physician
OS014529PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc. Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Appledore Medical Group, Inc Family Medicine CurrentSince Feb 1, 2020 Accepting new patients

Locations

426 Calef Hwy
Barrington, NH 03825
Phone (603) 664-0955

330 Borthwick Ave
Ste 107
Portsmouth, NH 03801
Phone (603) 433-8434

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

21 Whitehall Rd
Ste 301
Rochester, NH 03867
Phone (603) 330-3040

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1770757692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WHITEHALL ROAD",
            "address_2": "SUITE 301",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03867",
            "telephone_number": "603-692-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WHITEHALL ROAD",
            "address_2": "SUITE 301",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03867",
            "telephone_number": "603-692-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILT",
        "first_name": "RAY",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014529",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "15010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.