Active NPI
Patrick L Clary, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Dover, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 7489
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80009197 | Medicaid | NH |
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
Enrollment records 1
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
Practice addresses (Care Compare)
276 County Farm Rd
Dover, NH 03820-6003
Phone (603) 516-4166
Hospital & facility affiliations
- Beacon Hospice, an Amedisys Company
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7489 | NH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Strafford | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Riverside Rest Home | 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.
-
- Nursing Facility/Intermediate Care Facility
- Dover, NH
- NPI 1134116981
Adp of the SNF, Operational/Managerial Control
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.
-
- Nursing Facility/Intermediate Care Facility
- Dover, NH
- NPI 1134116981
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Portsmouth, NH
- NPI 1023193703
-
- Community Based Hospice Care Agency
- Concord, NH
- NPI 1053519272
-
- Community Based Hospice Care Agency
- Keene, NH
- NPI 1699969535
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.