Individual provider Active NPI

Scott Kurtzman, MD

  • Surgery Physician
  • Middlebury, CT
National Provider Identifier
1457357451
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
030784 Issued in CT
Practice address
1625 Straits Tpke
Suite 200
Middlebury, CT 06762-1805
Phone
(203) 568-2929
Fax
(203) 568-2921
NPI assigned
Jun 23, 2005
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 030784 CT Primary

Addresses

Primary practice location

1625 Straits Tpke
Suite 200
Middlebury, CT 06762-1805

Mailing address

1625 Straits Tpke
Suite #201
Middlebury, CT 06762-1805
Phone (203) 573-9512

Other identifiers 1

IdentifierTypeStateIssuer
001307843MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Albany Medical College of Union University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1625 Straits Tpke
Middlebury, CT 06762-1836

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030784CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Staywell Health Care, Inc. CurrentSince Nov 1, 2020 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Alliance Medical Group of Greater Waterbury PC Surgery Past Accepting new patients

Locations

80 Phoenix Ave
Ste 201
Waterbury, CT 06702
Phone (203) 757-5491

Interoperability endpoints

  • Direct secure messaging: scottkurtzman@amggw.allscriptsdirect.net

Organizations & group practices 4

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1457357451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 STRAITS TPKE",
            "address_2": "SUITE #201",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621805",
            "telephone_number": "203-573-9512",
            "fax_number": "203-568-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 STRAITS TPKE",
            "address_2": "SUITE 200",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621805",
            "telephone_number": "203-568-2929",
            "fax_number": "203-568-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZMAN",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "030784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001307843",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

Verify at the official NPI Registry.