Individual provider Active NPI

Thomas A Chasse, M.D.

  • Otolaryngology Physician
  • Concord, NH
National Provider Identifier
1811954712
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
8956 Issued in NH
Practice address
194 Pleasant St Ste 2
Concord, NH 03301-2952
Phone
(603) 224-2353
Fax
(603) 226-0727
NPI assigned
Apr 26, 2006
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 063305 GA
Otolaryngology Physician 207Y00000X MD2013-0125 NM
Otolaryngology Physician 207Y00000X 011959 ME
Otolaryngology Physician 207Y00000X 55754 MA
Otolaryngology Physician 207Y00000X 8956 NH Primary

Addresses

Primary practice location

194 Pleasant St Ste 2
Concord, NH 03301-2952

Mailing address

320 Peachtree St
Jesup, GA 31545-0244
Phone (912) 427-7790

Other practice location 1

320 Peachtree St
Jesup, GA 31545-0244
Phone (912) 427-7790

Other identifiers 4

IdentifierTypeStateIssuer
186000751MedicaidNM
30002649MedicaidNH
003148873AMedicaidGA
131980000MedicaidME

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
I20091218000049 MA Practitioner - Otolaryngology 0446291231 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55754MAMDOtolaryngology Physician
8956NHMDOtolaryngology Physician
MD2013-0125NMMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Nov 15, 2021 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 8, 2018 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Nov 15, 2021 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 8, 2018 Accepting new patients
Mainegeneral Medical Center Otolaryngology Past Accepting new patients
Pecos Valley of New Mexico, LLC Past Accepting new patients

Locations

191 Bedford St
Fall River, MA 02720
Phone (508) 235-5445

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

299 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 995-0700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1811954712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450244",
            "telephone_number": "912-427-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 PLEASANT ST STE 2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012952",
            "telephone_number": "603-224-2353",
            "fax_number": "603-226-0727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Peachtree St",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315450244",
            "country_code": "US",
            "telephone_number": "912-427-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASSE",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "063305",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NM",
            "license": "MD2013-0125",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "011959",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "55754",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "8956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186000751",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30002649",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003148873A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131980000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.