Organization Active NPI

Seacoast Kidney & Hypertension Specialists, P.L.L.C.

  • Nephrology Physician
  • Portsmouth, NH
National Provider Identifier
1780877902
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SEACOAST KIDNEY & HYPERTENSION SPECIALISTS, P.L.L.C.
Practice address
875 Greenland Rd
Building C-Unit 10
Portsmouth, NH 03801-4164
Phone
(603) 436-3433
Fax
(603) 427-5115
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Karen Torr
Title
Practice Manager
Phone
(603) 436-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

875 Greenland Rd
Building C-Unit 10
Portsmouth, NH 03801-4164

Mailing address

875 Greenland Road
Building C-Unit 10
Portsmouth, NH 03801-4174
Phone (603) 436-3433

Other identifiers 3

IdentifierTypeStateIssuer
30211568MedicaidNH
2655384OtherNHAETNA
143130000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071220000114 NH Part B Supplier - Clinic/Group Practice 5991895427 Receives reassigned benefits from 7 practitioners
Practice locations: Exeter, NH; Portsmouth, NH; Rochester, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D1076250Seacoast Kidney & Hypertension Specialists, PLLC875 Greenland Ave, Unit C 10, Portsmouth, NH 03801Provider-performed microscopyNov 7, 2027

National Provider Directory

National Provider Directory

Locations

875 Greenland Rd
Unit 10
Portsmouth, NH 03801
Phone (603) 422-6719

195 Commerce Way
Portsmouth, NH 03801
Phone (603) 436-2809

875 Greenland Rd
Unit C10
Portsmouth, NH 03801
Phone (603) 436-3433

11 Whitehall Rd
Ste 202
Rochester, NH 03867

21 Whitehall Rd
Ste 303
Rochester, NH 03867
Phone (603) 332-8981

11 Whitehall Rd
Unit 2
Rochester, NH 03867

21 Whitehall Rd
Ste 202
Rochester, NH 03867
Phone (603) 436-3433

252 Route 108
Somersworth, NH 03878
Phone (603) 430-7300

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1780877902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 GREENLAND ROAD",
            "address_2": "BUILDING C-UNIT 10",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-436-3433",
            "fax_number": "603-427-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 GREENLAND RD",
            "address_2": "BUILDING C-UNIT 10",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014164",
            "telephone_number": "603-436-3433",
            "fax_number": "603-427-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST KIDNEY & HYPERTENSION SPECIALISTS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "TORR",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "603-436-3433"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30211568",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2655384",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143130000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.