Individual provider Active NPI

Todd Alexander Fontaine, DO

  • Anesthesiology Physician
  • Keene, NH
National Provider Identifier
1992780613
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18959 Issued in NH
Practice address
590 Court St
Dartmouth Hitchcock - Anesthesiology
Keene, NH 03431
Phone
(603) 354-5400
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 032.0057670 VT
Anesthesiology Physician 207L00000X 1905 ME
Anesthesiology Physician 207L00000X 18959 NH Primary

Addresses

Primary practice location

590 Court St
Dartmouth Hitchcock - Anesthesiology
Keene, NH 03431

Mailing address

590 Court St
Dartmouth Hitchcock - Anesthesiology
Keene, NH 03431
Phone (603) 354-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100114000094 VT Practitioner - Anesthesiology 8123169067 Reassigns benefits to 1 organization
I20180620002041 NH Practitioner - Anesthesiology 8123169067 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monadnock Community HospitalGroup PAC ID 7416933031, 67 clinicians

Practice addresses (Care Compare)

452 Old St Rd
Peterborough, NH 03458-1263
Phone (603) 924-7191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1905MEMDAnesthesiology Physician
032.0057670VTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Feb 25, 2021 Accepting new patients
Dartmouth-Hitchcock Clinic Anesthesiology CurrentSince Jun 6, 2018 Accepting new patients
Cheshire Medical Center Current Accepting new patients
Monadnock Community Hospital Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 1, 2019 Accepting new patients
Gifford Medical Center Inc. CurrentSince Jun 2, 2017 Accepting new patients
Cheshire Medical Center CurrentSince Jan 1, 2019 Accepting new patients
Gifford Medical Center Inc CurrentSince Jun 2, 2017 Accepting new patients
Monadnock Community Hospital Past Accepting new patients

Locations

580 Court St
Keene, NH 03431
Phone (603) 354-5454

590 Court St
Keene, NH 03431
Phone (603) 354-5454

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

454 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4680

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Organizations & group practices 9

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1992780613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "address_2": "DARTMOUTH HITCHCOCK - ANESTHESIOLOGY",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "03431",
            "telephone_number": "603-354-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "address_2": "DARTMOUTH HITCHCOCK - ANESTHESIOLOGY",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "03431",
            "telephone_number": "603-354-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "TODD",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VT",
            "license": "032.0057670",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "1905",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NH",
            "license": "18959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.