Individual provider Active NPI

Timothy M Poutre, MD

  • Anesthesiology Physician
  • Manchester, NH
National Provider Identifier
1912905803
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10566 Issued in NH
Practice address
88 McGregor St
Ste 303
Manchester, NH 03102-3750
Phone
(603) 647-9325
Fax
(603) 647-2453
NPI assigned
Jul 13, 2005
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 10566 NH Primary

Addresses

Primary practice location

88 McGregor St
Ste 303
Manchester, NH 03102-3750

Mailing address

88 McGregor St
Ste 303
Manchester, NH 03102-3750
Phone (603) 647-9325

Other identifiers 1

IdentifierTypeStateIssuer
30200106MedicaidNH

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
I20040323000154 NH Practitioner - Anesthesiology 5698666378 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Vermont College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amoskeag Anesthesia PLLCGroup PAC ID 1759375983, 165 clinicians
Greater Hampstead Family Medicine IncGroup PAC ID 4284734351, 30 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 663-2431

207 Stage Rd
Hampstead, NH 03841-2224
Phone 6033295222216

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amoskeag Anesthesia, PLLC Anesthesiology CurrentSince Aug 1, 2020 Accepting new patients
Anesthesia Care Group PC Anesthesiology CurrentSince Apr 1, 2004 Accepting new patients
Greater Hampstead Family Medicine, Inc. Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Lakes Region Anesthesiology PA Anesthesiology Past Accepting new patients
North American Partners in Anesthesia New Hampshire LLP Anesthesiology Past Accepting new patients
Seacoast Anesthesia PA Anesthesiology Past Accepting new patients

Locations

11 Washington Pl
Bedford, NH 03110
Phone (603) 622-3670

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

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

1 Elliot Way
Ste 200
Manchester, NH 03103
Phone (603) 623-4640

185 Queen City Ave
Manchester, NH 03101
Phone (603) 314-6900

55 Bridge St
Manchester, NH 03101

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

Organizations & group practices 6

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1912905803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MCGREGOR ST",
            "address_2": "STE 303",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023750",
            "telephone_number": "603-647-9325",
            "fax_number": "603-647-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MCGREGOR ST",
            "address_2": "STE 303",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023750",
            "telephone_number": "603-647-9325",
            "fax_number": "603-647-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUTRE",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NH",
            "license": "10566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200106",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.