Individual provider Active NPI

Michael S. Shairs, DO

  • Psychiatry Physician
  • Keene, NH
National Provider Identifier
1790950772
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15732 Issued in NH
Practice address
17 93Rd St
Keene, NH 03431-3989
Phone
(603) 357-4400
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 15732 NH
Psychiatry Physician 2084P0800X 15732 NH Primary

Addresses

Primary practice location

17 93Rd St
Keene, NH 03431-3989

Mailing address

64 Main St FL 2
Keene, NH 03431-3701
Phone (603) 283-1574

Other practice location 1

1145 Sagamore Ave
Portsmouth, NH 03801-5503
Phone (603) 431-6703 ext. 5746

Other names 1

  • Michael S. Shairs Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110919000340 MA Practitioner - Psychiatry 4183895410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

228 Billerica Rd
Chelmsford, MA 01824-3604
Phone (978) 250-6000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Current Accepting new patients
Atrius Health, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Atrius Health, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

228 Billerica Rd
Chelmsford, MA 01824
Phone (978) 250-6000

Interoperability endpoints

  • Direct secure messaging: dmichaelshairs371175@direct.atrius.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1790950772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MAIN ST FL 2",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313701",
            "telephone_number": "603-283-1574",
            "fax_number": "603-430-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 93RD ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313989",
            "telephone_number": "603-357-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Sagamore Ave",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038015503",
            "country_code": "US",
            "telephone_number": "603-431-6703 x5746",
            "fax_number": "603-430-3753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIRS",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NH",
            "license": "15732",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "15732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "SHAIRS",
            "middle_name": "S.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.