MARILENA CALDARUSA M.D.
NPI 1689899270
Internal Medicine - Nephrology in Manchester, NH

Q: What is Marilena Caldarusa's NPI number?

The NPI number for Marilena Caldarusa is 1689899270. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Q: What is Marilena Caldarusa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment

76.01/100

CMS Quality Rating

87 MCGREGOR ST, MANCHESTER, NH 03102(603) 695-2640 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marilena Caldarusa M.d. NPPES

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

MARILENA CALDARUSA M.D. (NPI 1689899270) is an individual nephrology provider in Manchester, New Hampshire, licensed in New Hampshire (17550) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (2005).

NPPES Registry Identity

NPI1689899270

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameMARILENA CALDARUSACredential: M.D.

Location Address87 MCGREGOR STManchester, NH 03102-3765

Mailing Address87 Mcgregor StManchester, NH 03102-3765 · (603) 695-2640

Phone(603) 695-2640

Sole ProprietorNo

Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2005

Enumeration DateApril 17, 2007

Last NPPES UpdateJuly 28, 2016

✔ NPI 1689899270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NH · 17550

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

87 MCGREGOR ST, Manchester, NH 03102

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Other Identifiers 1

Medicare PIN002494101MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marilena Caldarusa M.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.

PECOS PAC ID8527255074

PECOS Enrollment IDI20160819001082

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

225 services32 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

131 services97 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

107 services16 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

89 services39 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

61 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

48 services28 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

30 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

29 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300003

Location1 Medical Center DriveLebanon, NH 03756 · Grafton County

Emergency services Birthing friendly

St Joseph Hospital

Acute Care Hospitals · Nashua, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number300011

Location172 Kinsley StNashua, NH 03060 · Hillsborough County

Emergency services Birthing friendly

Elliot Hospital

Acute Care Hospitals · Manchester, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300012

Location1 Elliot WayManchester, NH 03103 · Hillsborough County

Emergency services Birthing friendly

Southern Nh Medical Center

Acute Care Hospitals · Nashua, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300020

Location8 Prospect StreetNashua, NH 03060 · Hillsborough County

Emergency services Birthing friendly

Catholic Medical Center

Acute Care Hospitals · Manchester, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300034

Location100 Mcgregor StreetManchester, NH 03102 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$132.09 typical visit price

range $57.75 – $174.26

Typical copayment $33.02 (range $14.43 – $43.56)

Most-billed visit code 99204

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.31

Promoting Interoperability

100

Improvement Activities

Cost

54.74

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.

DR. DOUGLAS F. MARKS JR. M.D.

Internal Medicine (Rheumatology)

87 MCGREGOR ST, STE 4100
MANCHESTER, NH 03102

Hillsborough County (603) 695-2500

KRISTEN ELIZABETH NEWELL APRN

Nurse Practitioner (Family)

87 MCGREGOR ST
MANCHESTER, NH 03102

Hillsborough County (603) 695-2500

DR. WYNN HTUN M.D

Internal Medicine (Endocrinology, Diabetes & Metabolism)

87 MCGREGOR ST
MANCHESTER, NH 03102

Hillsborough County (603) 308-1467

DR. WILLIAM H GOODMAN MD

Internal Medicine (Pulmonary Disease)

87 MCGREGOR ST, STE 2200
MANCHESTER, NH 03102

Hillsborough County (603) 695-2500

DR. JOHN H YOST D.O.

Internal Medicine (Rheumatology)

87 MCGREGOR ST, STE 2200
MANCHESTER, NH 03102

Hillsborough County (603) 695-2500

DR. GERALD GEHR MD

Internal Medicine (Medical Oncology)

87 MCGREGOR ST, STE 4100
MANCHESTER, NH 03102

Hillsborough County (603) 695-2500

BRIAN E NAWOJ CRNA

Nurse Anesthetist, Certified Registered

87 MCGREGOR ST, STE. 1400
MANCHESTER, NH 03102

Hillsborough County (603) 647-9325

DR. KEVIN B MEYER MD

Internal Medicine (Nephrology)

87 MCGREGOR ST, 1ST FLOOR
MANCHESTER, NH 03102

Hillsborough County (603) 695-2640

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 Marilena Caldarusa's NPI number?

The NPI number for Marilena Caldarusa is 1689899270. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Marilena Caldarusa located?

Marilena Caldarusa practices at 87 Mcgregor St, Manchester, NH 03102. The listed phone number is (603) 695-2640.

What is Marilena Caldarusa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Marilena Caldarusa enrolled in Medicare?

Yes. Marilena Caldarusa 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.

What insurance does Marilena Caldarusa accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Marilena Caldarusa 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 Marilena Caldarusa affiliated with any hospitals?

According to CMS data, Marilena Caldarusa is affiliated with Mary Hitchcock Memorial Hospital, St Joseph Hospital, Elliot Hospital, Southern Nh Medical Center and Catholic Medical Center.

When was this NPI record last updated?

The NPPES record for Marilena Caldarusa was last updated on July 28, 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.