Victor Gennaro, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

8934 Issued in NH

Practice address

103 Boulder Point Drive
Plymouth Orthopedics and Sports Medicine Clinic
Plymouth, NH 03264-3428

Phone

(603) 536-1565

Fax

(603) 536-1200

NPI assigned

Jul 18, 2006

Last updated

Nov 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 13

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

Specialty

Orthopedic Surgery

Education

Philadelphia College of Osteopathic Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Littleton Hospital AssociationGroup PAC ID 6901796556, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Littleton Hospital Association

  dba Littleton Regional Healthcare

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702
  Medicare reassignment Care Compare group NPD
• Cottage Orthopedics PLLC

  • Orthopaedic Surgery Physician
  • Plymouth, NH
  • NPI 1295769545
  NPD (past) Authorized official
• Littleton Hospital Association

  dba LRH DME

  • Durable Medical Equipment & Medical Supplies
  • Littleton, NH
  • NPI 1174398846

  Orthopaedic Surgery

  NPD
• Day Kimball Medical Group Inc

  • Family Medicine Physician
  • Putnam, CT
  • NPI 1376813972
  NPD
• Village of Hanover Park

  • Land Ambulance
  • Hanover Park, IL
  • NPI 1023124617
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1801814611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 706",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032640706",
            "telephone_number": "603-481-8757",
            "fax_number": "603-238-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BOULDER POINT DRIVE",
            "address_2": "PLYMOUTH ORTHOPEDICS AND SPORTS MEDICINE CLINIC",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643428",
            "telephone_number": "603-536-1565",
            "fax_number": "603-536-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNARO",
        "first_name": "VICTOR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "8934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005795",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3164921",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4483620001",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0019104",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0400634Y0NH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "18P031",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5330990",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3070671",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200043876",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ORE2681",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "Z51935",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "158488245",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "175805800",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Anabelle Garza
• Gianna Gately
• Janette E Gaumer, R.D.
• Gennaro Family Practice
• Mary-Catherine Gennaro, DO
• Genoa Healthcare LLC
• Gentille Health and Aesthetics
• Eric Gibbs, MSED, NHLAT, ATC
• Eleanor Gilbert, MA., CMPC
• Madisen Giordano

• Orthopaedic Surgery Physician in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Orthopaedic Surgery Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.