Active NPI
Brian J Mazzei, DPM
- Foot & Ankle Surgery Podiatrist
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 010300940
- Practice address
- 1231 W Main St
Suite 100
Abingdon, VA 24210-4705 - Phone
- (276) 623-0333
- Fax
- (276) 623-0213
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 010300940 | VA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 450 | TN |
Addresses
Primary practice location
1231 W Main St
Suite 100
Abingdon, VA 24210-4705
Mailing address
1231 W Main St
Suite 100
Abingdon, VA 24210-4705
Phone (276) 623-0333
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4350350 | Medicaid | TN | |
| 9300732 | Medicaid | VA | |
| 1480758 | Other | UMWA | |
| 118872001 | Other | ADMINISTAR FEDERAL | |
| 118872001 | Other | DME | |
| 280049 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 E 2ND St
Coudersport, PA 16915-8161
Hospital & facility affiliations
- Upmc Cole
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 450 | TN | MD | Foot & Ankle Surgery Podiatrist |
| 010300940 | VA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abingdon Podiatry PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Charles Cole Memorial D/B/a Upmc Cole | Current | Accepting new patients | |
| Charles Cole Memorial Hospital D/B/a Upmc Cole | Current | Accepting new patients | |
| Charles Cole Memorial Hopstial | Foot & Ankle Surgery | Past | Accepting new patients |
| Brian Joseph Mazzei DPM and Renee Patrice Mason DPM PC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407
1001 E 2nd St
Ste C
Coudersport, PA 16915
425 Shelby Ln
Bristol, TN 37620
Phone (423) 797-8080
1231 W Main St
Ste 100
Abingdon, VA 24210
Phone (276) 623-0333
Interoperability endpoints
- bmazzei538268@upmc.direct-ci.com
- brian.j.mazzei@upmcdirect.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Coudersport, PA
- NPI 1326161662
-
- Foot & Ankle Surgery Podiatrist
- Abingdon, VA
- NPI 1144930066
-
- Foot & Ankle Surgery Podiatrist
- Abingdon, VA
- NPI 1720065469
-
- Ambulatory Surgical Clinic/Center
- Coudersport, PA
- NPI 1619008554
-
- Dentist
- Coudersport, PA
- NPI 1548618853
-
- Obstetrics & Gynecology Physician
- Coudersport, PA
- NPI 1306875042
Foot & Ankle Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Coudersport, PA
- NPI 1619008554
Hospital
-
- Critical Access Hospital
- Coudersport, PA
- NPI 1326161662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1063496008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 W MAIN ST",
"address_2": "SUITE 100",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242104705",
"telephone_number": "276-623-0333",
"fax_number": "276-623-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 W MAIN ST",
"address_2": "SUITE 100",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242104705",
"telephone_number": "276-623-0333",
"fax_number": "276-623-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZEI",
"first_name": "BRIAN",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "010300940",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TN",
"license": "450",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4350350",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9300732",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1480758",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTAR FEDERAL",
"identifier": "118872001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "118872001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "280049",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.