Individual provider Active NPI

Ann M Mass, MD

  • Internal Medicine Physician
  • Aspen, CO
National Provider Identifier
1598769358
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CO21624 Issued in CO
Practice address
225 N Mill St
Ste 116
Aspen, CO 81611-1958
Phone
(970) 544-1234
Fax
(970) 544-1310
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21624 CO
Internal Medicine Physician 207R00000X CO21624 CO Primary

Addresses

Primary practice location

225 N Mill St
Ste 116
Aspen, CO 81611-1958

Mailing address

225 N Mill St
Ste 116
Aspen, CO 81611-1958
Phone (970) 544-1234

Other identifiers 1

IdentifierTypeStateIssuer
01216241MedicaidCO

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21624COMDSpecialist
CO21624COMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ann.mass.1@29471.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1598769358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MILL ST",
            "address_2": "STE 116",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111958",
            "telephone_number": "970-544-1234",
            "fax_number": "970-544-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MILL ST",
            "address_2": "STE 116",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111958",
            "telephone_number": "970-544-1234",
            "fax_number": "970-544-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASS",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "21624",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CO21624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01216241",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

Verify at the official NPI Registry.