Individual provider Active NPI

Christopher Maio, PA

  • Physician Assistant
  • Storrs, CT
National Provider Identifier
1497939532
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002046 Issued in CT
Practice address
One Royce Circle
Storrs, CT 06268-2270
Phone
(860) 487-9200
Fax
(860) 487-9222
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002046 CT
Physician Assistant 363A00000X 002046 CT Primary

Addresses

Primary practice location

One Royce Circle
Storrs, CT 06268-2270

Mailing address

One Royce Circle
Storrs, CT 06268-2270
Phone (860) 487-9200

Other practice location 1

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-4778

Other identifiers 1

IdentifierTypeStateIssuer
002046OtherCTST OF CT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmaio10873@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080305000113 CT Practitioner - Physician Assistant 9032294715 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002046CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Manchester Hospital, Inc. CurrentSince Nov 8, 2023 Accepting new patients
State of Connecticut CurrentSince Mar 18, 2016 Accepting new patients
Prospect Manchester Hospital, Inc. CurrentSince Nov 8, 2023 Accepting new patients
State of Connecticut CurrentSince Mar 18, 2016 Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Medical Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients
University of Connecticut Health Center PastSince Apr 25, 2021 Accepting new patients

Locations

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

320 Main St
Manchester, CT 06040

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

2600 Tamarack Ave
South Windsor, CT 06074
Phone (860) 872-0501

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

Interoperability endpoints

  • Direct secure messaging: cmaio10873@direct.med.uchc.edu

Organizations & group practices 19

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.

View all 19

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Connecticut 267 clinicians

Practice addresses (Care Compare)

120 Dowling Way
Uconn Health Ancillary SVCS
Farmington, CT 06030-3800
Phone (860) 679-2784

135 Dowling Way
Farmington, CT 06030-3800
Phone (860) 679-2784

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2000

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1497939532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE ROYCE CIRCLE",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682270",
            "telephone_number": "860-487-9200",
            "fax_number": "860-487-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ROYCE CIRCLE",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682270",
            "telephone_number": "860-487-9200",
            "fax_number": "860-487-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Haynes St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060404131",
            "country_code": "US",
            "telephone_number": "860-647-4778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIO",
        "first_name": "CHRISTOPHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "002046",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST OF CT LICENSE",
            "identifier": "002046",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmaio10873@direct.med.uchc.edu",
            "affiliation": "N",
            "endpointDescription": "UConn",
            "address_1": "One 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.