Individual provider

Samuel Grady, PA

Medical Physician Assistant Medicare enrolled

Samuel Grady, PA is a Medical Physician Assistant in Manchester, NH, registered under NPI 1205287174. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 100 MCGREGOR ST, Manchester, NH 03102. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

100 MCGREGOR ST, Manchester, NH 03102 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
1287 NH Medical Physician Assistant primary
019735 NY Medical Physician Assistant

Licences are recorded in 2 states: NH, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
3072801943
Enrollment ID
I20171129001081

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: New Hampshire and New York. The practice address on file is in Manchester, NH, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NH New Hampshire practice address
Licence
1287
Specialty
Medical Physician Assistant
Verify with the NH board →
NY New York
Licence
019735
Specialty
Medical Physician Assistant
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AM0700X Medical Physician Assistant Medical 1287 NH primary
363AM0700X Medical Physician Assistant Medical 019735 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205287174 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 22, 2016
Last updatedMar 17, 2018
StatusActive
Sole proprietorYes
CredentialPA
Practice address 100 MCGREGOR ST
Manchester, NH 03102
(603) 668-3545
Mailing address 100 MCGREGOR STREET
Manchester, NH 03102
This record was last updated on Mar 17, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1205287174 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 2 8 7 1 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 4 8 5 1 5

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205287174?
NPI 1205287174 is the National Provider Identifier assigned to Samuel Grady, PA in Manchester, NH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Samuel Grady, PA?
The phone number on file with NPPES is (603) 668-3545, last updated Mar 17, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Samuel Grady, PA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205287174 a valid number?
Yes. 1205287174 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.