Individual provider Active NPI

Alan S. Waitze, M.D.

  • Neurological Surgery Physician
  • Waterbury, CT
National Provider Identifier
1164480323
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
038348 Issued in CT
Practice address
500 Chase Pkwy
Suite 2a
Waterbury, CT 06708-3346
Phone
(203) 755-6677
Fax
(203) 573-1982
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 038348 CT Primary

Addresses

Primary practice location

500 Chase Pkwy
Suite 2a
Waterbury, CT 06708-3346

Mailing address

500 Chase Pkwy
Suite 2a
Waterbury, CT 06708-3346
Phone (203) 755-6677

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
I20100326000464 CT Practitioner - Neurosurgery 5193714632

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.29 of 100Reported as group
Quality
56.67
Promoting interoperability
86
Improvement activities
20
Cost
72.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038348CTMDNeurological Surgery Physician

Interoperability endpoints

  • Direct secure messaging: awaitze@noss.emrgedirect.com

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1164480323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHASE PKWY",
            "address_2": "SUITE 2A",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083346",
            "telephone_number": "203-755-6677",
            "fax_number": "203-573-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHASE PKWY",
            "address_2": "SUITE 2A",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083346",
            "telephone_number": "203-755-6677",
            "fax_number": "203-573-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITZE",
        "first_name": "ALAN",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CT",
            "license": "038348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.