Individual provider Active NPI

Angelo Mallozzi, M.D.

  • Family Medicine Physician
  • Stamford, CT
National Provider Identifier
1689768558
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
023273 Issued in CT
Practice address
90 Morgan St Ste 105
Stamford, CT 06905-5436
Phone
(203) 276-7215
Fax
(203) 276-7225
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 023273 CT Primary

Addresses

Primary practice location

90 Morgan St Ste 105
Stamford, CT 06905-5436

Mailing address

90 Morgan St Ste 105
Stamford, CT 06905-5436
Phone (203) 276-7215

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
I20100309000818 CT Practitioner - Family Practice 2466354311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

90 Morgan St
Suite 102
Stamford, CT 06905-5436
Phone (203) 298-4381

Hospital & facility affiliations

  • Health Care Connectors LLC Home health agency, Greenwich, CT, CCN 077278
  • Visiting Nurse & Hospice of Fairfield County, Inc Home health agency, Wilton, CT, CCN 077074
  • Sterling Care LLC Home health agency, Greenwich, CT, CCN 077252
  • Constellation Home Care Home health agency, Norwalk, CT, CCN 077200
  • Constellation Home Care Hospice, Norwalk, CT, CCN 071542
  • Health Care Connectors LLC Hospice, Greenwich, CT, CCN 071548
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006
  • Edgehill Health Center Nursing home, Stamford, CT, CCN 075421

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023273CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angelo Mallozzi ,MD, PC CurrentSince Aug 30, 2024 Accepting new patients

Locations

90 Morgan St
Ste 102
Stamford, CT 06905
Phone (203) 273-6311

Interoperability endpoints

  • Direct secure messaging: angelo.mallozzi.1@31527.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
EdgehillStamford, CT, CCN 075421 Skilled nursing facility Contracted Managing Employee Sep 19, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 9

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1689768558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MORGAN ST STE 105",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055436",
            "telephone_number": "203-276-7215",
            "fax_number": "203-276-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MORGAN ST STE 105",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055436",
            "telephone_number": "203-276-7215",
            "fax_number": "203-276-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOZZI",
        "first_name": "ANGELO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "023273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.