Active NPI
Christopher Mason Bazzoli, M.D.
- Emergency Medicine Physician
- Delta, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 127063
- Practice address
- 1501 E 3Rd St
Delta, CO 81416-2815 - Phone
- (970) 874-7681
- NPI assigned
- Apr 4, 2014
- Last updated
- Jan 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 62550 | CO | |
| Emergency Medicine Physician | 207P00000X | 127063 | OH | Primary |
Addresses
Primary practice location
1501 E 3Rd St
Delta, CO 81416-2815
Mailing address
PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-7681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Ohio State University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62550 | CO | MD | Emergency Medicine Physician |
| 127063 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Emergency Medicine | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Colorado West Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients |
Locations
Dept 0861
Denver, CO 80256
Phone (970) 298-1977
2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311
Interoperability endpoints
- cbazzoli93337@direct.metrohealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Emergency Medicine Physician
- Grand Junction, CO
- NPI 1780626069
-
dba Metrohealth Professional Group
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
Emergency Medicine
-
dba Metrohealth Medical Center
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
dba MetroHealth Brooklyn Memphis Pharmacy
- Pharmacy
- Cleveland, OH
- NPI 1992529911
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1720406887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10100",
"city": "DELTA",
"state": "CO",
"postal_code": "814160008",
"telephone_number": "970-874-7681",
"fax_number": "970-874-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 3RD ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814162815",
"telephone_number": "970-874-7681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZZOLI",
"first_name": "CHRISTOPHER",
"middle_name": "MASON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-04",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "62550",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "127063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.