Individual provider Active NPI

Maxwell D Elia, MD

  • Ophthalmology Physician
  • Manchester, NH
National Provider Identifier
1902192669
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17463 Issued in NH
Practice address
250 River Rd
Manchester, NH 03104-2423
Phone
(603) 668-2020
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 17463 NH
Ophthalmology Physician 207W00000X 17463 NH Primary

Addresses

Primary practice location

250 River Rd
Manchester, NH 03104-2423

Mailing address

250 River Rd
Manchester, NH 03104-2423
Phone (603) 668-2020

Other practice location 1

407 Riverway Pl Bldg 4
Bedford, NH 03110-6765
Phone (603) 668-2020 ext. 1004

Other practice location 2

835 Hanover St Ste 304
Manchester, NH 03104-5401
Phone (603) 668-2020 ext. 1004

Other practice location 3

17 Riverside St Ste 104
Nashua, NH 03062-1383
Phone (603) 668-2020 ext. 1004

Other practice location 4

454 Old Street Rd Ste 204
Peterborough, NH 03458-1200
Phone (603) 668-2020 ext. 1004

Other practice location 5

24 Bridge St
Concord, NH 03301-4922
Phone (603) 668-2020 ext. 1004

Other identifiers 1

IdentifierTypeStateIssuer
3105130MedicaidNH

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
I20160822000547 NH Practitioner - Ophthalmology 4082935176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Eye Center PCGroup PAC ID 7315916095, 15 clinicians

Practice addresses (Care Compare)

17 Riverside St
Suite 104
Nashua, NH 03062-1383
Phone (603) 668-2020

250 River Rd
Manchester, NH 03104-2423
Phone (603) 668-2020

407 Riverway PL
Bedford, NH 03110-6765
Phone (603) 668-2020

454 Old St Rd
Peterborough, NH 03458-1200
Phone (603) 668-2020

835 Hanover St
Manchester, NH 03104-5401
Phone (603) 668-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery391

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17463NHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Eye Center, P.C. Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
The Medical Eye Center, P.C. CurrentSince Aug 1, 2016 Accepting new patients
Elliot Professional Services CurrentSince May 15, 2023 Accepting new patients
Prohealth Physicians PC Past Accepting new patients

Locations

407 Riverway Pl
Bedford, NH 03110
Phone (603) 668-1421

407 Riverway Pl
Bldg 4
Bedford, NH 03110
Phone 6036682020 ext. 1004

24 Bridge St
Concord, NH 03301
Phone (603) 229-4200

835 Hanover St
Ste 304
Manchester, NH 03104
Phone (603) 641-5081

250 River Rd
Manchester, NH 03104
Phone (603) 668-2020

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

17 Riverside St
Ste 104
Nashua, NH 03062
Phone (603) 668-2020

454 Old Street Rd
Ste 204
Peterborough, NH 03458
Phone (603) 924-7070

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1902192669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042423",
            "telephone_number": "603-668-2020",
            "fax_number": "603-668-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042423",
            "telephone_number": "603-668-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Riverway Pl Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106765",
            "country_code": "US",
            "telephone_number": "603-668-2020 x1004",
            "fax_number": "603-668-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Hanover St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031045401",
            "country_code": "US",
            "telephone_number": "603-668-2020 x1004",
            "fax_number": "603-668-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Riverside St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030621383",
            "country_code": "US",
            "telephone_number": "603-668-2020 x1004",
            "fax_number": "603-668-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "454 Old Street Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Peterborough",
            "state": "NH",
            "postal_code": "034581200",
            "country_code": "US",
            "telephone_number": "603-668-2020 x1004",
            "fax_number": "603-668-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033014922",
            "country_code": "US",
            "telephone_number": "603-668-2020 x1004",
            "fax_number": "603-668-0881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIA",
        "first_name": "MAXWELL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NH",
            "license": "17463",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "17463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3105130",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.