MICHAEL SOUTHWORTH MD NPI 1306822481

NPI Information

  • NPI: 1306822481
  • Provider Name: MICHAEL SOUTHWORTH, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 789 CENTRAL AVE
    DOVER, NH
    ZIP 03820
  • Phone: (603) 740-2832

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NPI Details

Michael Southworth, MD is a vascular surgery surgery in Dover, NH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Michael Southworth, MD NPI is 1306822481. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

789 CENTRAL AVE
DOVER, NH
ZIP 03820-526
Phone: (603) 740-2832

The NPI 1306822481 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Application of vein wound compression bandages on lower leg, ankle, and foot (HCPCS:29581)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 12/20/2005 and was last updated on 2/25/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery8539NEW HAMPSHIREYes
22086S0129XSurgeryVascular Surgery013160MAINENo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10123485OTHERAETNA
2020401332OTHERMARTINS POINT
330004276MEDICAIDNEW HAMPSHIRE
4008585OTHERMAINE BLUE CROSS
53073850MEDICAIDNEW HAMPSHIRE
61306822481MEDICAIDMAINE
7P00923460OTHERNEW HAMPSHIRERAILROAD MEDICARE
8AA7682OTHERHARVARD PILGRIM
9299000099MEDICAIDMAINE
100105960Y0NH01OTHERANTHEM BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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