Individual provider Active NPI

Steven Tsistrakis, M.D

  • Gastroenterology Physician
  • Derry, NH
National Provider Identifier
1992168389
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
22335 Issued in NH
Practice address
6 Tsienneto Rd Ste 301
Derry, NH 03038-1584
Phone
(603) 432-8802
NPI assigned
Apr 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 22335 NH Primary

Addresses

Primary practice location

6 Tsienneto Rd Ste 301
Derry, NH 03038-1584

Mailing address

6 Tsienneto Rd Ste 301
Derry, NH 03038-1584
Phone (603) 432-8802

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
I20220801000191 NH Practitioner - Gastroenterology 4284970567 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Granite State Gastrointestinal Consultants PLLCGroup PAC ID 8022093962, 6 clinicians

Practice addresses (Care Compare)

160 S River Rd
Suite 2300
Bedford, NH 03110-6927
Phone (603) 432-8802

49 Range Rd
Suite 109
Windham, NH 03087-2029
Phone (603) 432-8802

6 Old Fremont Rd
Raymond, NH 03077-2363
Phone (603) 432-8802

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy272
Upper gastrointestinal (GI) endoscopy for acid reflux133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22335NHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Valley Hospital, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Androscoggin Valley Hospital Inc CurrentSince Aug 1, 2022 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Granite State Gastrointestinal Consultants PLLC Gastroenterology CurrentSince Jul 5, 2022 Accepting new patients

Locations

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

6 Tsienneto Rd
Ste 301
Derry, NH 03038
Phone (603) 432-8802

50 Michels Way
Londonderry, NH 03053
Phone (603) 432-8802

Interoperability endpoints

  • Direct secure messaging: steven.tsistrakis.1@25664.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1992168389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 301",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-432-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 301",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-432-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSISTRAKIS",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NH",
            "license": "22335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.