Individual provider Active NPI

Soumil Shrihari Patwardhan, M.D.

  • Gastroenterology Physician
  • Portsmouth, NH
National Provider Identifier
1891101374
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
24002 Issued in NH
Practice address
330 Borthwick Ave Ste 311
Portsmouth, NH 03801-7112
Phone
(603) 692-2228
Fax
(603) 692-4748
NPI assigned
Jul 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD26901 ME
Gastroenterology Physician 207RG0100X MD60992946 WA
Gastroenterology Physician 207RG0100X 24002 NH Primary

Addresses

Primary practice location

330 Borthwick Ave Ste 311
Portsmouth, NH 03801-7112

Mailing address

21 Clark Way
Somersworth, NH 03878-4401
Phone (603) 692-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 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
I20230512002279 NH Practitioner - Gastroenterology 7315165586
I20240328003081 MA Practitioner - Gastroenterology 7315165586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seacoast Affiliated Group Practice IncGroup PAC ID 1658357843, 50 clinicians

Practice addresses (Care Compare)

255 Low St
Suite 2
Newburyport, MA 01950-3594
Phone (978) 465-4622

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy117
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26901MEMDGastroenterology Physician
24002NHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Feb 12, 2024 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Locations

255 Low St
Ste 201
Newburyport, MA 01950
Phone (978) 465-4622

255 Low St
Ste 2
Newburyport, MA 01950
Phone (978) 465-4622

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

Interoperability endpoints

  • Direct secure messaging: spatwardhan447951@direct.bilh.masshiway.net
  • Direct secure messaging: soumilpatwardan@atlanticdigestive.directbygreenway.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1891101374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CLARK WAY",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038784401",
            "telephone_number": "603-692-2228",
            "fax_number": "603-692-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 311",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017112",
            "telephone_number": "603-692-2228",
            "fax_number": "603-692-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATWARDHAN",
        "first_name": "SOUMIL",
        "middle_name": "SHRIHARI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "MD26901",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60992946",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NH",
            "license": "24002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.