Individual provider Active NPI

David Martin Bass, M.D.

  • Specialist
  • Hartford, CT
National Provider Identifier
1497722300
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
016246 Issued in CT
Practice address
85 Seymour St
Suite 718
Hartford, CT 06106-5501
Phone
(860) 247-3479
Fax
(860) 522-6713
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 016246 CT Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 016246 CT

Addresses

Primary practice location

85 Seymour St
Suite 718
Hartford, CT 06106-5501

Mailing address

85 Seymour St
Suite 718
Hartford, CT 06106-5501
Phone (860) 247-3479

Other identifiers 1

IdentifierTypeStateIssuer
001162460MedicaidCT

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
I20050418001207 CT Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 3678511979 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Tufts University School of Medicine, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-6800

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500

85 Seymour St
Hartford, CT 06106-5526
Phone (860) 247-3479

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision13
Removal of tissue472
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016246CTMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David M. Bass, M.D., P.C. Plastic and Reconstructive Surgery CurrentSince Oct 10, 1986 Accepting new patients
Hartford Hospital CurrentSince Jan 1, 2015 Accepting new patients
Hartford Hospital CurrentSince Jan 1, 2015 Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Hartford Hospital CurrentSince Jan 1, 2015 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

704 Hebron Ave
Ste 103
Glastonbury, CT 06033
Phone (860) 247-3279

85 Seymour St
Ste 718
Hartford, CT 06106
Phone (860) 247-3479

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

Interoperability endpoints

  • Direct secure messaging: david.bass@xdr.hhchealthdirect.org

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.

Hospital & facility affiliations 4

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1497722300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 718",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-247-3479",
            "fax_number": "860-522-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 718",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-247-3479",
            "fax_number": "860-522-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "DAVID",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "016246",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CT",
            "license": "016246",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001162460",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.