DR. JOANNA IRIS AVENA DEPASUPIL MD
NPI 1760060909
Pediatrics in Derry, NH

Q: What is Joanna Iris Depasupil's NPI number?

The NPI number for Joanna Iris Depasupil is 1760060909. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Joanna Iris Depasupil's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 30, 2021PECOS Enrolled

3 FOREST RIDGE RD APT 233, DERRY, NH 03038(603) 553-6753 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2026, Mar 30, 2021 (2 updates tracked since 2021).

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About Dr. Joanna Iris Avena Depasupil Md NPPES

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

DR. JOANNA IRIS AVENA DEPASUPIL MD (NPI 1760060909) is an individual pediatrics provider in Derry, New Hampshire, licensed in New York (331657) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760060909

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. JOANNA IRIS AVENA DEPASUPILCredential: MD

Location Address3 FOREST RIDGE RD APT 233Derry, NH 03038-6126

Mailing Address3 Forest Ridge Rd Apt 233Derry, NH 03038-6126 · (603) 553-6753

Phone(603) 553-6753

Sole ProprietorNo

Enumeration DateMarch 30, 2021

Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration

NPPES CertifiedMarch 16, 2026

✔ NPI 1760060909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 331657

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3 FOREST RIDGE RD APT 233, Derry, NH 03038

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joanna Iris Avena Depasupil Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Joanna Iris Depasupil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Flushing Hospital & Medical Center

200 mi

General Acute Care Hospital

4500 PARSONS BLVD
Flushing, NY 11355

Reassigned Medicare billing, New York enrollment
327 clinicians in this Medicare group

NPI 1548217763 (718) 670-6000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03038 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

$89.14 typical visit price

range $57.75 – $174.26

Typical copayment $22.28 (range $14.43 – $43.56)

Most-billed visit code 99203

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.

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 Joanna Iris Depasupil's NPI number?

The NPI number for Joanna Iris Depasupil is 1760060909. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Joanna Iris Depasupil located?

Joanna Iris Depasupil practices at 3 Forest Ridge Rd Apt 233, Derry, NH 03038. The listed phone number is (603) 553-6753.

What is Joanna Iris Depasupil's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Joanna Iris Depasupil enrolled in Medicare?

Yes. Joanna Iris Depasupil is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joanna Iris Depasupil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joanna Iris Depasupil reassigns Medicare benefits to Flushing Hospital & Medical Center (Flushing, NY). 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 Joanna Iris Depasupil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joanna Iris Depasupil was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.