Individual provider Active NPI

John Andrew McMahon, DO

  • Sports Medicine (Internal Medicine) Physician
  • Portsmouth, NH
National Provider Identifier
1821258062
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
16235 Issued in NH
Practice address
1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone
(603) 431-1121
Fax
(603) 431-9147
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 16235 NH Primary
Sports Medicine (Internal Medicine) Physician 207RS0010X 2237 ME

Addresses

Primary practice location

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679

Mailing address

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

Other identifiers 1

IdentifierTypeStateIssuer
30228921MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 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
I20110803000147 ME Practitioner - Internal Medicine 3678742996 Reassigns benefits to 1 organization
I20130821000514 NH Practitioner - Sports Medicine 3678742996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of New England, College of Osteo Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Durham Rd
Suite 108
Dover, NH 03820-4380
Phone (603) 431-1121

16 Hospital Dr
Suite B
York, ME 03909-1041
Phone (207) 363-3490

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

Hospital & facility affiliations

  • York Hospital Hospital, York, ME, CCN 200020
  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Interoperability endpoints

  • Direct secure messaging: jmcmahon@direct.smao.org

Organizations & group practices 1

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 2

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1821258062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NH",
            "license": "16235",
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "ME",
            "license": "2237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30228921",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.