SOUMIL SHRIHARI PATWARDHAN M.D.
NPI 1891101374
Internal Medicine - Gastroenterology in Portsmouth, NH

Q: What is Soumil Patwardhan's NPI number?

The NPI number for Soumil Patwardhan is 1891101374. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Q: What is Soumil Patwardhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Soumil Patwardhan was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 07, 2014PECOS EnrolledAccepts Medicare Assignment

330 BORTHWICK AVE STE 311, PORTSMOUTH, NH 03801(603) 692-2228(603) 692-4748 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2023, Jul 20, 2020, Jun 24, 2020 (3 updates tracked since 2020).

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About Soumil Shrihari Patwardhan M.d. NPPES

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

SOUMIL SHRIHARI PATWARDHAN M.D. (NPI 1891101374) is an individual gastroenterology provider in Portsmouth, New Hampshire, licensed in New Hampshire (24002) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1891101374

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSOUMIL SHRIHARI PATWARDHANCredential: M.D.

Location Address330 BORTHWICK AVE STE 311Portsmouth, NH 03801-7112

Mailing Address21 Clark WaySomersworth, NH 03878-4401 · (603) 692-2228 · Fax (603) 692-4748

Phone(603) 692-2228

Fax(603) 692-4748

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 7, 2014

Last NPPES UpdateMay 3, 20233 updates tracked since enumeration

NPPES CertifiedMay 3, 2023

✔ NPI 1891101374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in NH · 24002✔ Licensed in ME · MD26901✔ Licensed in WA · MD60992946

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

330 BORTHWICK AVE STE 311, Portsmouth, NH 03801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health and more.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

Soumil Shrihari Patwardhan 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 ID7315165586

PECOS Enrollment IDI20240328003081

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 Reassignments

Medicare enrollment records show Soumil Patwardhan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Core Physicians, LLC

8.8 mi

Family Medicine

4 ALUMNI DR
Exeter, NH 03833

Reassigned Medicare billing, New Hampshire enrollment
395 clinicians in this Medicare group

NPI 1336330588 (603) 580-6753

Seacoast Affiliated Group Practice, Inc.

18 mi

Clinic/Center

25 HIGHLAND AVE
Newburyport, MA 01950

Reassigned Medicare billing, Massachusetts enrollment
90 clinicians in this Medicare group

NPI 1801892344 (978) 463-1390

Integrated Gastroenterology Consultants, PC

41 mi

Gastroenterology

41 WELLMAN ST STE 400
Lowell, MA 01851

Reassigned Medicare billing, Massachusetts enrollment
Medicare enrollment name: Integrated Gastroenterology Consultants, P.C.
70 clinicians in this Medicare group

NPI 1477553287 (978) 459-6737

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.

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.

91 services62 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

56 services55 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

54 services54 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.

45 services45 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.

28 services28 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.

26 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220029

Location25 Highland AvenueNewburyport, MA 01950 · Essex County

Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220171

Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA ADAMS N.P.

Nurse Practitioner (Family)