Individual provider Active NPI

Mark R Henschke, DO

  • Internal Medicine Physician
  • Newington, NH
National Provider Identifier
1922092667
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9158 Issued in NH
Practice address
2064 Woodbury Ave
Suite 102
Newington, NH 03801-7801
Phone
(603) 766-8130
Fax
(603) 766-8131
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9158 NH Primary
Internal Medicine Physician 207R00000X DO13001 ME

Addresses

Primary practice location

2064 Woodbury Ave
Suite 102
Newington, NH 03801-7801

Mailing address

2064 Woodbury Ave
Suite 102
Newington, NH 03801-7801
Phone (603) 766-8130

Other identifiers 3

IdentifierTypeStateIssuer
020470410OtherNHTAX ID
P00004229OtherNHRAILROAD MEDICARE
30006683MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20131127000593 ME Practitioner - Internal Medicine 4981612454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metabolic Leader LLCGroup PAC ID 7315135423, 3 clinicians

Practice addresses (Care Compare)

51 US Route 1
Suite H
Scarborough, ME 04074-7134
Phone (207) 396-6433

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO13001MEMDInternal Medicine Physician
9158NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metabolic Leader LLC CurrentSince Apr 1, 2022 Accepting new patients
Martin'S Point Health Care, Inc. Internal Medicine Past Accepting new patients
Appledore Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

51 US Route 1
Ste H
Scarborough, ME 04074
Phone (207) 396-6433

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2690/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1922092667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 WOODBURY AVE",
            "address_2": "SUITE 102",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017801",
            "telephone_number": "603-766-8130",
            "fax_number": "603-766-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 WOODBURY AVE",
            "address_2": "SUITE 102",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017801",
            "telephone_number": "603-766-8130",
            "fax_number": "603-766-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSCHKE",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "9158",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "DO13001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "020470410",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00004229",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30006683",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, NH

Sources for this page

Verify at the official NPI Registry.