Muthutantrige Harine Cooray, MD
Individual provider Active NPI Family Medicine Physician · Keene, NH
NPI 1922597285 · NPPES record last updated Sep 15, 2021
Key facts
- NPI
- 1922597285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 21303 (NH)
- Practice address
- 590 Court Street
Dartmouth-Hitchcock Clinic
Keene, NH 03431 - Phone
- (603) 354-6762
- Fax
- (915) 757-0720
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cheshire Medical Center
Mary Hitchcock Memorial Hospital
Practice addresses (Care Compare)
590 Court St
Keene, NH 03431-1719
Phone (603) 354-5400
Hospital & facility affiliations
- Vna at HCS Inc
- Bayada Home Health Care Inc.
- Cheshire Medical Center
- Mary Hitchcock Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.26 of 100
- Quality
- 75.44
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.09
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210816000232 | NH | Practitioner - Family Practice | 3476957358 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21303 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients | |
| Cheshire Medical Center | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Cheshire Medical Center | Family Medicine | Current |
Accepting new patients |
Locations
590 Court St
Keene, NH 03431
Phone (603) 354-5454
62 Maple Ave
Keene, NH 03431
Phone (603) 308-1467
580 Court St
Keene, NH 03431
Phone (603) 354-5454
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
Interoperability endpoints
- muthutantrige.cooray@direct.myhealthep.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 21303 | NH | Yes |
Addresses
Primary practice location
590 Court Street
Dartmouth-Hitchcock Clinic
Keene, NH 03431
Mailing address
590 Court Street
Dartmouth-Hitchcock Clinic
Keene, NH 03431
Phone (603) 354-6762
Other providers in Keene, NH
- Christopher Aaron Conway
- Kelly T Cook
- Michelle Jean Cook
- Julie R Cookish
- Amy E Cooper
- David A. Cope
- Jennifer E Cormier
- Cornerstone Chiropractic and Massage
- Stephen Eliot Corso
- Cheryl O Costa
All providers in Keene, NH · Family Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.