Individual provider Active NPI

Patrick Fitzpatrick, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Littleton, NH
National Provider Identifier
1801917216
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
14868 Issued in NH
Practice address
580 St. Jonsbury Rd.
Littleton, NH 03561
Phone
(603) 444-2450
NPI assigned
Apr 3, 2007
Last updated
Aug 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 14868 NH Primary
Allergy & Immunology Physician 207K00000X 14868 NH

Addresses

Primary practice location

580 St. Jonsbury Rd.
Littleton, NH 03561

Mailing address

PO Box 160
Patient Financial Services
Littleton, NH 03561
Phone (603) 259-7627

Other identifiers 1

IdentifierTypeStateIssuer
30228266MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101220000867 NH Practitioner - Otolaryngology 2062600919 Reassigns benefits to 2 organizations
I20131205000741 VT Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Plastic and Reconstructive Surgery 2062600919

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2000
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)

600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone (603) 444-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Aug 1, 2010 Accepting new patients
Littleton Hospital Association CurrentSince Aug 1, 2010 Accepting new patients
Littleton Hospital Association Past Accepting new patients

Locations

580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385

580 Saint Johnsbury Rd
Ste H
Littleton, NH 03561
Phone (603) 444-2450

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Littleton Regional HealthcareLittleton, NH, CCN 301302 Hospital Other Jan 1, 2017
Littleton Regional HealthcareLittleton, NH, CCN 30Z302 Hospital Corporate Director Jan 1, 2017
North Country Primary CareLittleton, NH, CCN 303988 Rural health clinic Other Jan 1, 2017

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1801917216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "address_2": "PATIENT FINANCIAL SERVICES",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-259-7627",
            "fax_number": "603-259-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ST. JONSBURY RD.",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-444-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NH",
            "license": "14868",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NH",
            "license": "14868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30228266",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.