Individual provider Active NPI

Zachary James Maass, DO

  • Sports Medicine (Family Medicine) Physician
  • Storrs, CT
National Provider Identifier
1447604293
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
066416 Issued in CT
Practice address
1 Royce Circle
Storrs, CT 06268-2270
Phone
(860) 487-9264
Fax
(860) 487-9222
NPI assigned
Apr 18, 2016
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 066416 CT
Student in an Organized Health Care Education/Training Program 390200000X CT
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Family Medicine) Physician 207QS0010X 066416 CT Primary

Addresses

Primary practice location

1 Royce Circle
Storrs, CT 06268-2270

Mailing address

1 Royce Circle
Storrs, CT 06268-2270
Phone (860) 487-9264

Other practice location 1

99 Woodland St
Hartford, CT 06105-1207
Phone (860) 714-4577

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address zmaass32874@direct.med.uchc.edu
Direct Messaging Address zmaass32874@direct.med.uchc.edu

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
I20200828000804 CT Practitioner - Sports MedicinePractitioner - Family Practice 8820380678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Royce Cir
Suite 104
Storrs, CT 06268-2270
Phone (860) 487-9200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
066416CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Aug 3, 2020 Accepting new patients
University of Connecticut Health Center CurrentSince Aug 3, 2020 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

1 Royce Cir
Ste 104
Storrs Mansfield, CT 06268
Phone (860) 487-9200

Interoperability endpoints

  • Direct secure messaging: zmaass32874@direct.med.uchc.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1447604293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROYCE CIRCLE",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682270",
            "telephone_number": "860-487-9264",
            "fax_number": "860-487-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROYCE CIRCLE",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682270",
            "telephone_number": "860-487-9264",
            "fax_number": "860-487-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Woodland St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061051207",
            "country_code": "US",
            "telephone_number": "860-714-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAASS",
        "first_name": "ZACHARY",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "066416",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CT",
            "license": "066416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zmaass32874@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "1 Royce Circle",
            "city": "Storrs",
            "state": "CT",
            "country_code": "US",
            "postal_code": "062682270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zmaass32874@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "1 Royce Circle",
            "city": "Storrs",
            "state": "CT",
            "country_code": "US",
            "postal_code": "062682270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Storrs, CT

Sources for this page

Verify at the official NPI Registry.