Individual provider Active NPI

Patrick L Clary, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Dover, NH
National Provider Identifier
1942236765
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
7489 Issued in NH
Practice address
276 County Farm Rd
Dover, NH 03820-6003
Phone
(603) 742-1348
Fax
(603) 742-9060
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 7489 NH Primary

Addresses

Primary practice location

276 County Farm Rd
Dover, NH 03820-6003

Mailing address

276 County Farm Rd
Dover, NH 03820-6003
Phone (603) 969-0815

Other identifiers 1

IdentifierTypeStateIssuer
80009197MedicaidNH

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
I20041109000409 NH Practitioner - Hospice/Palliative CarePractitioner - Other (Physician)Practitioner - Family Practice 3274596465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Georgetown University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of StraffordGroup PAC ID 0042245623, 5 clinicians

Practice addresses (Care Compare)

276 County Farm Rd
Dover, NH 03820-6003
Phone (603) 516-4166

Hospital & facility affiliations

  • Beacon Hospice, an Amedisys Company Hospice, Portsmouth, NH, CCN 301526

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7489NHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Strafford CurrentSince Sep 1, 2004 Accepting new patients

Locations

276 County Farm Rd
Dover, NH 03820
Phone (603) 516-4166

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Riverside Rest HomeDover, NH, CCN 305047 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 20, 1988
Jan 20, 1988

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 3

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1942236765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 COUNTY FARM RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038206003",
            "telephone_number": "603-969-0815",
            "fax_number": "603-436-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 COUNTY FARM RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038206003",
            "telephone_number": "603-742-1348",
            "fax_number": "603-742-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "PATRICK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NH",
            "license": "7489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80009197",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.