Charles M Masserman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

027029 Issued in CT

Practice address

1064 E Main St
Suite 301
Meriden, CT 06450-4898

Phone

(203) 634-3636

Fax

(203) 634-1972

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

94.48 of 100Reported as apm

Quality

83.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: charles.masserman.1@5084.direct.athenahealth.com

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1972502920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 E MAIN ST",
            "address_2": "SUITE 301",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504898",
            "telephone_number": "203-634-3636",
            "fax_number": "203-634-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 E MAIN ST",
            "address_2": "SUITE 301",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504898",
            "telephone_number": "203-634-3636",
            "fax_number": "203-634-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSERMAN",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "027029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001270298",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Marro, MFT
• Jessica M. Martin, NP
• Carolyn M Martino, RDH
• Jessica Mary
• Cynthia Veronica Mason, APRN
• David P Mastrantuone, RPH
• Isabelina Mateo
• Neethu Mathew, APRN FNP-BC
• Harvey E Matloff, D.D.S.
• Jessica A Matyka, LCSW

• Family Medicine Physician in Meriden, CT
• Providers in Meriden, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.