DR. DMITRIY KEDRIN M.D. PH.D.
NPI 1235450792
Internal Medicine - Gastroenterology in Manchester, NH
About Dr. Dmitriy Kedrin M.d. Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DMITRIY KEDRIN M.D. PH.D. (NPI 1235450792) is an individual gastroenterology provider in Manchester, New Hampshire, licensed in New Hampshire (17627) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Dmitriy Kedrin M.d. Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Dmitriy Kedrin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manchester, NH 03109
- Reassigned Medicare billing, New Hampshire enrollment
- 446 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elliot Hospital
Acute Care Hospitals · Manchester, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANCHESTER, NH 03101
MANCHESTER, NH 03101
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dmitriy Kedrin's NPI number?
The NPI number for Dmitriy Kedrin is 1235450792. It was assigned to this individual provider in the NPPES registry on June 18, 2010.
Where is Dmitriy Kedrin located?
Dmitriy Kedrin practices at 185 Queen City Ave Elliot Gastroenterology, Manchester, NH 03101. The listed phone number is (603) 314-6900.
What is Dmitriy Kedrin's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Dmitriy Kedrin enrolled in Medicare?
Yes. Dmitriy Kedrin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Dmitriy Kedrin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dmitriy Kedrin reassigns Medicare benefits to Elliot Professional Services (Manchester, NH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dmitriy Kedrin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dmitriy Kedrin accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list Dmitriy Kedrin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dmitriy Kedrin affiliated with any hospitals?
According to CMS data, Dmitriy Kedrin is affiliated with Elliot Hospital.
When was this NPI record last updated?
The NPPES record for Dmitriy Kedrin was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Dmitriy Kedrin, M.D. PH.D. · NPI 1235450792
Gastroenterology physician in Manchester, New Hampshire. Individual provider, active in the CMS NPPES registry since June 18, 2010.
## Identity
- **NPI:** 1235450792 (Entity type: Individual)
- **Enumerated:** June 18, 2010
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 17627 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 185 QUEEN CITY AVE, ELLIOT GASTROENTEROLOGY, Manchester, NH 03101-7121
- **Phone:** (603) 314-6900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Elliot Professional Services (NPI 1285627935, Manchester, NH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 2010
## Record status
- **NPPES last updated:** June 15, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1235450792) · Data from the CMS NPPES public registry.