NPIMap

Individual provider Active NPI

Stephan Heo, M.D.

  • Cardiovascular Disease Physician
  • Manchester, NH
National Provider Identifier
1881822559
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD14687 Issued in RI
Practice address
100 McGregor St
Manchester, NH 03102-3730
Phone
(603) 669-0413
Fax
(603) 663-6350
NPI assigned
Jul 1, 2009
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD14687 RI Primary

Addresses

Primary practice location

100 McGregor St
Manchester, NH 03102-3730

Mailing address

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 669-0413

Other practice location 1

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4102

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_mano@gohnh.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180816002229 NH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9234385006 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Boston University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Specialists of New England, LLCGroup PAC ID 0244776540, 14 clinicians

Practice addresses (Care Compare)

1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 432-1500

6 Buttrick Rd
Suite 200
Londonderry, NH 03053-3417
Phone (603) 323-0883

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting37
Pacemaker insertion or repair1-10
Varicose vein removal25
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Jun 20, 2018 Accepting new patients
Catholic Medical Center CurrentSince Nov 15, 2018 Accepting new patients
Speare Memorial Hospital Current Accepting new patients
Catholic Medical Center Cardiovascular Disease CurrentSince Jun 20, 2018 Accepting new patients
Weeks Medical Center Current Accepting new patients
HCA Health Services of New Hampshire, Inc. Cardiovascular Disease CurrentSince Jan 13, 2020 Accepting new patients
Speare Memorial Hospital CurrentSince May 24, 2025 Accepting new patients
Cardiovascular Specialists of New England, LLC Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients

Locations

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

181 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-8652

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

6 Buttrick Rd
Ste 200
Londonderry, NH 03053
Phone (603) 323-0883

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

195 McGregor St
Ste 310
Manchester, NH 03102

769 S Main St
Ste 101
Manchester, NH 03102
Phone (603) 323-0883

87 McGregor St
Ste 3100
Manchester, NH 03102
Phone (603) 627-1887

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

Interoperability endpoints

  • Direct secure messaging: staff_mano@gohnh.allscriptsdirect.net
  • Direct secure messaging: stephan.heo.1@27406.direct.athenahealth.com

Organizations & group practices 8

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 10

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1881822559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-669-0413",
            "fax_number": "603-663-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-669-0413",
            "fax_number": "603-663-6350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-793-4102",
            "fax_number": "401-793-4049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEO",
        "first_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD14687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_mano@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "100 McGregor St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.