Maria Elizabeth Litzendorf, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

69636 Issued in CT

Practice address

360 Tolland Tpke Ste 1a
Manchester, CT 06042-1759

Phone

(860) 533-6551

Fax

(860) 533-6552

NPI assigned

Mar 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AZ, CT3 enrollments

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 3

Specialty

Vascular Surgery

Education

Eastern Virginia Medical School, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Connecticut Vascular Center LLCGroup PAC ID 8527951532, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
• Johnson Memorial Hospital Hospital, Stafford Springs, CT, CCN 070008

Merit-based Incentive Payment System (MIPS)

Final score

97.63 of 100Reported as group

Promoting interoperability

88

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mlitzendorf@vascularexperts.directbygreenway.com
• Direct secure messaging: maria.litzendorf.1@32135.direct.athenahealth.com

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.

• Southern Connecticut Vascular Center, LLC

  dba The Vascular Experts

  • Vascular Surgery Physician
  • Stratford, CT
  • NPI 1033318175
  Medicare reassignment Care Compare group NPD
• Modern Vascular of Tucson, LLC

  • Vascular & Interventional Radiology Physician
  • Tucson, AZ
  • NPI 1255896544
  Medicare reassignment NPD
• Precise Vascular Sonography LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • San Antonio, TX
  • NPI 1326661190
  NPD
• Boston University General Surgical Associates, Inc.

  • Surgery Physician
  • Boston, MA
  • NPI 1104865567
  NPD (past)
• Mission Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1194323725
  NPD (past)
• Podiatry Associates, P.a.

  • Primary Podiatric Medicine Podiatrist
  • Bel Air, MD
  • NPI 1487879938
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Johnson Memorial Hospital, Inc.

  • Psychiatric Hospital Unit
  • Stafford Springs, CT
  • NPI 1053480293
  Care Compare affiliation
• Johnson Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Stafford Springs, CT
  • NPI 1932123569
  Care Compare affiliation
• Johnson Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Stafford Springs, CT
  • NPI 1972728442
  Care Compare affiliation
• Manchester Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1881564664
  Care Compare affiliation

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1598935058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RESEARCH DR STE 105",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846228",
            "telephone_number": "203-210-6340",
            "fax_number": "203-502-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TOLLAND TPKE STE 1A",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421759",
            "telephone_number": "860-533-6551",
            "fax_number": "860-533-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITZENDORF",
        "first_name": "MARIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "218744",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "DC",
            "license": "MD044826",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "69636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Lindsay, DPT
• Gina M Lippi, O.D.
• Anastasia Marie Litke, CNM, MSN, CLC
• Abigail Litrenta
• Darrin Little
• Bonnie Llanes
• Lydia Loiselle, PA-C
• Catherine Lombardi, APRN
• Rachel Ellen London, PA
• Alexander M Long

• Vascular Surgery Physician in Manchester, CT
• Providers in Manchester, CT by specialty
• Vascular Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.