NPIMap

Individual provider Active NPI

Scott J. Fabozzi, MD

  • Urology Physician
  • Concord, NH
National Provider Identifier
1982648994
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10273 Issued in NH
Practice address
246 Pleasant St
Memorial Building, West, Floor 1
Concord, NH 03301-2548
Phone
(603) 224-3388
Fax
(603) 225-3557
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 10273 NH Primary

Addresses

Primary practice location

246 Pleasant St
Memorial Building, West, Floor 1
Concord, NH 03301-2548

Mailing address

246 Pleasant St
Memorial Building, West, Floor 1
Concord, NH 03301-2548
Phone (603) 224-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528001279 NH Practitioner - Urology 2567443047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Vermont College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

246 Pleasant St
Concord, NH 03301-2548
Phone (603) 224-3388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Oct 1, 2005 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Concord Hospital-Laconia Urology CurrentSince Nov 15, 2023 Accepting new patients
Concord Hospital, Inc. CurrentSince Oct 1, 2005 Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

246 Pleasant St
Fl 1
Concord, NH 03301

246 Pleasant St
Ste G2
Concord, NH 03301
Phone (603) 224-3388

248 Pleasant St
Ste 204
Concord, NH 03301
Phone (603) 228-7117

250 Pleasant St
Ofc
Concord, NH 03301

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

724 N Main St
Laconia, NH 03246
Phone (603) 524-5151

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1982648994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST",
            "address_2": "MEMORIAL BUILDING, WEST, FLOOR 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-3388",
            "fax_number": "603-225-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST",
            "address_2": "MEMORIAL BUILDING, WEST, FLOOR 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-3388",
            "fax_number": "603-225-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABOZZI",
        "first_name": "SCOTT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NH",
            "license": "10273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.