NPIMap

Individual provider Active NPI

Mark Edward Tramontozzi, M.D.

  • Surgery Physician
  • Norwich, CT
National Provider Identifier
1699711028
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
030790 Issued in CT
Practice address
330 Washington St
Suite 520
Norwich, CT 06360-2700
Phone
(860) 889-3841
Fax
(860) 887-3840
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 030790 CT Primary

Addresses

Primary practice location

330 Washington St
Suite 520
Norwich, CT 06360-2700

Mailing address

330 Washington St
Suite 520
Norwich, CT 06360-2700
Phone (860) 889-3841

Other identifiers 10

IdentifierTypeStateIssuer
1292510-002OtherCTCIGNA
010030790CT01OtherCTANTHEM BCBS
307900OtherCTCONNECTICARE
001307900MedicaidCT
668514OtherCTTUFTS HEALTH PLAN
NLS062OtherCTOXFORD
031273OtherCTHEALTH NET
020038549OtherCTRAILROAD MEDICARE
1022018OtherCTAETNA
182032OtherCTPREFERRED ONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000538 CT Practitioner - General Surgery 8628973005 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Georgetown University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians
Windham Community Memorial Hospital IncGroup PAC ID 2961309059, 67 clinicians

Practice addresses (Care Compare)

111 Salem Tpke
Norwich, CT 06360-7403
Phone (860) 889-8331

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (860) 456-9116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
97.64 of 100Reported as group
Quality
79.59
Promoting interoperability
100
Improvement activities
40
Cost
81.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue968
Removal of skin lesions13
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The William W Backus Hospital CurrentSince Aug 13, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc Surgery CurrentSince Sep 1, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgery CurrentSince Jun 1, 2019 Accepting new patients
Surgical Associates of Norwich LLC Surgery CurrentSince Apr 8, 2013 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Feb 11, 2018 Accepting new patients
William W Backus Hospital CurrentSince Aug 13, 2020 Accepting new patients
United Community and Family Services, Inc. PastSince Nov 1, 2010 Accepting new patients
The William W Backus Hospital Past Accepting new patients

Locations

111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023

111 Salem Tpke
Norwich, CT 06360
Phone (860) 425-5900

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

12 Case St
Ste 313
Norwich, CT 06360
Phone (860) 204-9126

330 Washington St
Ste 520
Norwich, CT 06360
Phone (860) 886-1949

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
The William W Backus HospitalNorwich, CT, CCN 070024 Hospital Corporate Director Jan 28, 2019
Windham Community Memorial Hospital IncWillimantic, CT, CCN 070021 Hospital Corporate Director Jan 1, 2019
Natchaug Hospital, IncMansfield Center, CT, CCN 074008 Hospital Corporate Director Jan 1, 2019

Owned or controlled facilities with NPI records 5

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

Organizations & group practices 9

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 4

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1699711028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "address_2": "SUITE 520",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602700",
            "telephone_number": "860-889-3841",
            "fax_number": "860-887-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "address_2": "SUITE 520",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602700",
            "telephone_number": "860-889-3841",
            "fax_number": "860-887-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMONTOZZI",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "030790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1292510-002",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010030790CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "307900",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001307900",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "668514",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NLS062",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "031273",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020038549",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1022018",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "182032",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.