NPIMap

Individual provider Active NPI

Anthony Ippolito, DO

  • Rheumatology Physician
  • Dover, NH
National Provider Identifier
1801012372
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
16590 Issued in NH
Practice address
10 Members Way Ste 403
Dover, NH 03820-5933
Phone
(603) 742-6664
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OS015568 PA
Rheumatology Physician 207RR0500X 16590 NH Primary
Rheumatology Physician 207RR0500X H68266 MD

Addresses

Primary practice location

10 Members Way Ste 403
Dover, NH 03820-5933

Mailing address

PO Box 412503
Boston, MA 02241-2503
Phone (617) 726-3884

Other practice location 1

1 Hampton Rd Unit 200
Exeter, NH 03833-2995
Phone (603) 775-7575

Other practice location 2

21 Whitehall Rd
Ste 205
Rochester, NH 03867-3236
Phone (603) 994-7433

Other identifiers 2

IdentifierTypeStateIssuer
1025797340001MedicaidPA
3098045MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141027001863 NH Practitioner - Rheumatology 5395913628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of New England, College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Members Way
403 Seacoast Arthritis and Osteoporosis
Dover, NH 03820-5933
Phone (603) 742-6664

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H68266MDMDRheumatology Physician
16590NHMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation Rheumatology CurrentSince Apr 18, 2022 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Apr 18, 2022 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients

Locations

10 Members Way
Ste 403
Dover, NH 03820
Phone (603) 742-6664

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

67 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 431-5529

67 Corporate Dr
Bldg A
Portsmouth, NH 03801
Phone (603) 431-5529

Interoperability endpoints

  • Direct secure messaging: ippolito.anthony.wdh@direct.partners.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.

Hospital & facility affiliations 8

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1801012372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412503",
            "telephone_number": "617-726-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY STE 403",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-742-6664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hampton Rd Unit 200",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "NH",
            "postal_code": "038332995",
            "country_code": "US",
            "telephone_number": "603-775-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Whitehall Rd",
            "address_2": "Ste 205",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038673236",
            "country_code": "US",
            "telephone_number": "603-994-7433",
            "fax_number": "603-994-7447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "OS015568",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NH",
            "license": "16590",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "H68266",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025797340001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3098045",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.