WENTWORTH-DOUGLASS HOSPITAL
NPI 1720563703
Clinic/Center - Oncology, Radiation in Portsmouth, NH

NPI Status: Active since September 26, 2018

Contact Information

121 CORPORATE DR BLDG C
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 742-8787

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  • Organization
  • Clinic/Center
  • Oncology, Radiation
  • CLIA Number: 30D2225015
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 05-17-2027

About WENTWORTH-DOUGLASS HOSPITAL

This page provides the complete NPI Profile along with additional information for Wentworth-douglass Hospital, a provider established in Portsmouth, New Hampshire operating as a Clinic/center, focusing in oncology, radiation . The healthcare provider is registered in the NPI registry with number 1720563703 assigned on September 2018. The practitioner's primary taxonomy code is 261QX0203X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Joel Degenaars (Executive Director Of Finance)

NPI
1720563703
Provider Name
WENTWORTH-DOUGLASS HOSPITAL
Entity Type
Organization
Location Address
121 CORPORATE DR BLDG C PORTSMOUTH, NH 03801
Location Phone
(603) 742-8787
Mailing Address
PO BOX 412540 BOSTON, MA 02241
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2018
Last Update Date
12-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oncology, Radiation

Taxonomy Code
261QX0203X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOEL DEGENAARS

Authorized Official Title
EXECUTIVE DIRECTOR OF FINANCE
Authorized Official Phone
(603) 740-2806

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3074430MEDICAID (05)NH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
30D2225015
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
May 18, 2025
Certificate Expiration Date
May 17, 2027
Laboratory Director
SRINIVAS MAGANTI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wentworth-douglass Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720563703, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 1 + 0 + 6 + 6 + 7 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1720563703.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720563703, enumerated as an "organization" on September 26, 2018.

The provider is located at 121 CORPORATE DR BLDG C PORTSMOUTH, NH 03801 and the phone number is (603) 742-8787.

Clinic/Center with taxonomy code 261QX0203X and a focus in Oncology, Radiation.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.