Individual provider Active NPI

James T Mazzara, MD

  • Orthopaedic Surgery Physician
  • Manchester, CT
National Provider Identifier
1548224512
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
031398 Issued in CT
Practice address
29 Haynes St
Manchester, CT 06040-4139
Phone
(860) 649-2267
Fax
(860) 288-2107
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 031398 CT Primary

Addresses

Primary practice location

29 Haynes St
Manchester, CT 06040-4139

Mailing address

29 Haynes St
Manchester, CT 06040-4139
Phone (860) 649-2267

Other identifiers 1

IdentifierTypeStateIssuer
001313981MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address orthoassoc@oah.allscriptsdirectnet Direct

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
I20070711000182 CT Practitioner - Orthopedic Surgery 9335249051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40
Cost
82.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031398CTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Hartford,PC Orthopaedic Surgery CurrentSince Jul 1, 2017 Accepting new patients
Orthopedic Associates of Hartford,PC Orthopaedic Surgery CurrentSince Jul 1, 2017 Accepting new patients

Locations

345 Western Blvd
Glastonbury, CT 06033
Phone (860) 549-8288

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208

29 Haynes St
Manchester, CT 06040
Phone (860) 533-2903

Interoperability endpoints

  • Direct secure messaging: james.mazzara@xdr.hhchealthdirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1548224512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404139",
            "telephone_number": "860-649-2267",
            "fax_number": "860-288-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404139",
            "telephone_number": "860-649-2267",
            "fax_number": "860-288-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARA",
        "first_name": "JAMES",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "031398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001313981",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "orthoassoc@oah.allscriptsdirectnet",
            "affiliation": "N",
            "endpointDescription": "ORTHOPEDIC ASSOCIATES OF HARTFORD DIRECT ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "29 Haynes St",
            "city": "Manchester",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060404139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.