Individual provider Active NPI

Jason Mayo, M.D.

  • Diagnostic Radiology Physician
  • New Britain, CT
National Provider Identifier
1073711776
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
49644 Issued in CT
Practice address
1 Liberty SQ
New Britain, CT 06051-2637
Phone
(860) 827-0071
Fax
(860) 229-5642
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 49644 CT Primary

Addresses

Primary practice location

1 Liberty SQ
New Britain, CT 06051-2637

Mailing address

1 Liberty SQ
P.O. Box 217
New Britain, CT 06051-2637
Phone (860) 827-0071

Other identifiers 1

IdentifierTypeStateIssuer
1073711776MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110726000816 CT Practitioner - Diagnostic Radiology 9739357328 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Diagnostic Imaging Services of CT LLCGroup PAC ID 3577465111, 18 clinicians
Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians
Meriden Imaging Center IncGroup PAC ID 4385683556, 56 clinicians

Practice addresses (Care Compare)

1 Towne Park PLZ
Norwich, CT 06360-2247
Phone (203) 949-2700

100 Grand St
New Britain, CT 06052-2016
Phone (203) 949-2700

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480

111 Salem Tpke
Norwich, CT 06360-7403
Phone (203) 949-2700

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666

201 N Mountain Rd
Plainville, CT 06062-1848
Phone (203) 949-2700

326 Washington St
Norwich, CT 06360-2740
Phone (203) 949-2700

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700

601 N Main St
Southington, CT 06489-2051
Phone (844) 868-1001

7 A Ledgebrook Dr
Mansfield, CT 06250-1664
Phone (844) 868-1001

81 Meriden Ave
Southington, CT 06489-3268
Phone (203) 949-2700

863 N Main St Ext
Wallingford, CT 06492-2434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
82.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as group
Quality
90.49
Promoting interoperability
100
Improvement activities
40
Cost
77.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49644CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC CurrentSince Jan 1, 2016 Accepting new patients
Midstate Radiology Associates, LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Meriden Imaging Center, Inc. Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Starling Physicians PLLC CurrentSince Jan 1, 2016 Accepting new patients
Diagnostic Imaging Services of CT, LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Vein Centers, LLC Diagnostic Radiology Past Accepting new patients
Comprehensive Orthopedics & Musculoskeletal Care LLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

1345 Farmington Ave
Bristol, CT 06010
Phone (860) 585-0000

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

289 Western Blvd
Glastonbury, CT 06033
Phone (203) 237-4477

100 Retreat Ave
Ste 100
Hartford, CT 06106
Phone (860) 545-9050

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

1 Liberty Sq
New Britain, CT 06051
Phone (860) 229-2807

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

201 N Mountain Rd
Plainville, CT 06062
Phone (860) 224-5416

601 N Main St
Southington, CT 06489

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

863 N Main Street Ext
Wallingford, CT 06492

1210 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 721-5731

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1073711776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ",
            "address_2": "P.O. BOX 217",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512637",
            "telephone_number": "860-827-0071",
            "fax_number": "860-229-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512637",
            "telephone_number": "860-827-0071",
            "fax_number": "860-229-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "49644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073711776",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.