Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kevin John Porbunderwala, MD

Individual provider Internal Medicine Physician · NPI 1639513856

Dr. Kevin John Porbunderwala, MD is a Hospitalist in Manchester, New Hampshire. Qualified in 2012, 14 years ago. Practices with Elliot Professional Services, a 424-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
14
Licensed in
NH
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 McGregor St
Manchester, NH 03102-3730
Phone: (603) 668-3545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 17528 (NH)

Record details

NPI number1639513856
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2013
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Elliot Professional Services — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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