WENTWORTH DOUGLASS HOSPITAL
NPI 1477038461
Clinic/Center - Oncology in Portsmouth, NH

Active since September 26, 2018
121 CORPORATE DR BLDG A, PORTSMOUTH, NH 03801(603) 742-8787 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2025, Jul 1, 2020, May 17, 2020 and 1 more (4 updates tracked since 2018).

About Wentworth Douglass Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENTWORTH DOUGLASS HOSPITAL (NPI 1477038461) is a healthcare organization registered as an oncology in Portsmouth, New Hampshire and active in the NPI registry since September 2018. The organization lists Joel Degenaars, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1477038461
Entity TypeOrganization
Primary Taxonomy261QX0200X
Legal Business NameWENTWORTH DOUGLASS HOSPITAL
Location Address121 CORPORATE DR BLDG APortsmouth, NH 03801-6895
Mailing AddressPo Box 412540Boston, MA 02241-2540
Organization SubpartNo
Authorized OfficialJoel DegenaarsExecutive Director Of Finance · (603) 740-2806
Enumeration DateSeptember 26, 2018
Last NPPES UpdateDecember 17, 20254 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1477038461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · OncologyAmbulatory Health Care Facilities
Taxonomy Code261QX0200X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
121 CORPORATE DR BLDG A, Portsmouth, NH 03801

Other Identifiers 1

Medicaid3074430NH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wentworth Douglass Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew HampshireEnrollment IDO20040730000120Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Wentworth Douglass Hospital, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Hematology/Oncology
NPI 1376750562
155 BORTHWICK AVE STE C
Portsmouth, NH 03801
(603) 828-0100
✔ PECOS✔ Accepts Medicare1.7 mi
Registered Dietitian or Nutrition Professional
NPI 1255938825
15 OLD ROLLINSFORD RD
Dover, NH 03820
(603) 740-2647
9.5 mi
Clinical Social Worker
NPI 1942212584
10 MEMBERS WAY SUITE 301
Dover, NH 03820
(603) 742-9200
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wentworth Douglass Hospital's NPI number?

The NPI number for Wentworth Douglass Hospital is 1477038461. It was assigned to this organization in the NPPES registry on September 26, 2018.

Where is Wentworth Douglass Hospital located?

Wentworth Douglass Hospital is located at 121 Corporate Dr Bldg A, Portsmouth, NH 03801. The listed phone number is (603) 742-8787.

What is Wentworth Douglass Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, with taxonomy code 261QX0200X.

Is Wentworth Douglass Hospital enrolled in Medicare?

Yes. Wentworth Douglass Hospital is registered in the Medicare PECOS enrollment system.

When is Wentworth Douglass Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Hampshire, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Wentworth Douglass Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wentworth Douglass Hospital, in Clinical Social Worker, Hematology/Oncology and Registered Dietitian or Nutrition Professional. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wentworth Douglass Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield list Wentworth Douglass Hospital 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.

When was this NPI record last updated?

The NPPES record for Wentworth Douglass Hospital was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.