Individual provider Active NPI

Kevin Jon Roelofs, MD

  • Allergy Physician
  • Portsmouth, NH
National Provider Identifier
1982601084
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
12404 Issued in NH
Practice address
100 Griffin Rd
Unit a
Portsmouth, NH 03801-7158
Phone
(603) 436-7897
Fax
(603) 436-7855
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Allergy/Immunology Physician 2080P0201X 12404 NH
Allergy Physician 207KA0200X 12404 NH Primary

Addresses

Primary practice location

100 Griffin Rd
Unit a
Portsmouth, NH 03801-7158

Mailing address

100 Griffin Rd
Unit a
Portsmouth, NH 03801-7158

Other identifiers 2

IdentifierTypeStateIssuer
01Y007809NH01OtherNHANTHEM NH ID #
30204663MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kevinroelofs@aaonh.allscriptsdirect.net

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
I20040910001005 NH Practitioner - Allergy/Immunology 9739156639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Drexel University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Associates of NH PAGroup PAC ID 1759358658, 4 clinicians

Practice addresses (Care Compare)

100 Griffin Rd
Unit a
Portsmouth, NH 03801-7158
Phone (603) 436-7897

Merit-based Incentive Payment System (MIPS)

Final score
80.13 of 100Reported as group
Quality
65.39
Improvement activities
40
Cost
79.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates of NH PA Allergy CurrentSince Aug 1, 2004 Accepting new patients

Locations

51 Webb Pl
Ste 230
Dover, NH 03820
Phone (603) 343-4649

100 Griffin Rd
Unit A
Portsmouth, NH 03801
Phone (603) 436-7897

Interoperability endpoints

  • Direct secure messaging: kevinroelofs@aaonh.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1982601084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRIFFIN RD",
            "address_2": "UNIT A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRIFFIN RD",
            "address_2": "UNIT A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017158",
            "telephone_number": "603-436-7897",
            "fax_number": "603-436-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELOFS",
        "first_name": "KEVIN",
        "middle_name": "JON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NH",
            "license": "12404",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NH",
            "license": "12404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NH ID #",
            "identifier": "01Y007809NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204663",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevinroelofs@aaonh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "100 GRIFFIN RD",
            "address_2": "UNIT A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038017158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.