Individual provider Active NPI

Robert Niegisch, MD

  • Family Medicine Physician
  • Pembroke, NH
National Provider Identifier
1841238573
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7624 Issued in NH
Practice address
121 Pembroke St
Pembroke, NH 03275-1311
Phone
(603) 485-8441
Fax
(603) 485-7718
NPI assigned
Jun 3, 2006
Last updated
Nov 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7624 NH Primary

Addresses

Primary practice location

121 Pembroke St
Pembroke, NH 03275-1311

Mailing address

121 Pembroke St
Pembroke, NH 03275-1311
Phone (603) 485-8441

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031126000364 NH Practitioner - Family Practice 8224932694

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7624NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. Past Accepting new patients
Capital Region Physician Group Past Accepting new patients

Organizations & group practices 2

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1841238573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PEMBROKE ST",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032751311",
            "telephone_number": "603-485-8441",
            "fax_number": "603-485-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PEMBROKE ST",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032751311",
            "telephone_number": "603-485-8441",
            "fax_number": "603-485-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEGISCH",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "7624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NH

Sources for this page

Verify at the official NPI Registry.