NOVELLA INFUSION LLC – Internal Medicine Physician, NPI 1497364376
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NOVELLA INFUSION LLC
1111B S GOVERNORS AVE STE 3887
DOVER, DE 199046903
Phone: (603) 319-6224
Type: Mailing
14 Tsienneto Rd Ste 200A
Derry, NH 030381647
Phone: (603) 836-9869
Type: Location
111 New Hampshire Ave # 2
Portsmouth, NH 038012864
Phone: (603) 319-6224
Type: Location
171 Pleasant St Ste 201
Concord, NH 033012625
Phone: (603) 836-9869
Type: Location
14 Tsienneto Rd Ste 200
Derry, NH 030381647
Phone: (603) 836-9869
Type: Location
94 Auburn St Ste 203
Portland, ME 041032100
Phone: (603) 836-9869
Type: Location
111 NEW HAMPSHIRE AVE # 2
PORTSMOUTH, NH 038012864
Phone: (603) 319-6224
Type: Location
875 Greenland Rd Unit C3
Portsmouth, NH 038014163
Phone: (603) 836-9869
Type: Location
6 E Chestnut St Ste L01
Augusta, ME 043305764
Phone: (207) 747-1181
Fax: (207) 800-4548
Type: Location
963 Sabattus St Unit 3
Lewiston, ME 042403332
Phone: (207) 747-1181
Fax: (207) 800-4548
Type: Location
195 Mechanic St Ste 2
Lebanon, NH 037661545
Phone: (603) 836-9869
Fax: (603) 836-0118
Type: Location
160 S River Rd Ste 101A
Bedford, NH 031106927
Phone: (603) 836-9869
Fax: (603) 836-0118
Type: Location
120 Washington St Unit 101
Rochester, NH 038395534
Phone: (603) 836-9869
Fax: (603) 836-0118
Type: Location
9 Washington Pl Ste 201
Bedford, NH 031106750
Phone: (603) 836-9869
Type: Location
297 DANIEL WEBSTER HWY STE 2
MERRIMACK, NH 030544451
Phone: (603) 836-9869
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-03-31 (70 days ago).
Enrollment records
1
Earliest due date
2026-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20201119001301 | O | Clinic/Group Practice | NH | 2026-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19904)
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