DR. JUDITH M MASCOLO M.D.
NPI 1972641801
Family Medicine in West Hartford, CT

Active since February 02, 2007PECOS Enrolled
639 PARK RD, SUITE 100, WEST HARTFORD, CT 06107(860) 233-4600(860) 233-4604 Get Directions Write a Review

NPPES record last updated: April 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Judith M Mascolo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUDITH M MASCOLO M.D. (NPI 1972641801) is an individual family medicine provider in West Hartford, Connecticut, licensed in Connecticut (036592) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1991).

NPPES Registry Identity

NPI1972641801
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUDITH M MASCOLOCredential: M.D.
Location Address639 PARK RD, SUITE 100West Hartford, CT 06107-3443
Mailing Address639 Park Rd, Suite 100West Hartford, CT 06107-3443 · (860) 233-4600 · Fax (860) 233-4604
Fax(860) 233-4604
Sole ProprietorYes
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1991
Enumeration DateFebruary 2, 2007
Last NPPES UpdateApril 28, 2014
NPI 1972641801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CT · 036592
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
639 PARK RD, West Hartford, CT 06107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Judith M Mascolo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507953965
PECOS Enrollment IDI20071101000081
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
639 PARK RD, STE 100
WEST HARTFORD, CT 06107
Ophthalmology
639 PARK RD, SUITE #100
WEST HARTFORD, CT 06107
Internal Medicine
639 PARK RD, 2ND FLOOR
WEST HARTFORD, CT 06107
Counselor (Mental Health)
639 PARK RD
WEST HARTFORD, CT 06107
Specialist
639 PARK RD, SUITE #100
WEST HARTFORD, CT 06107
Ophthalmology
639 PARK RD, SUITE #100
WEST HARTFORD, CT 06107
Internal Medicine
639 PARK RD
WEST HARTFORD, CT 06107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Mascolo's NPI number?

The NPI number for Judith Mascolo is 1972641801. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Judith Mascolo located?

Judith Mascolo practices at 639 Park Rd Suite 100, West Hartford, CT 06107. The listed phone number is (860) 233-4600.

What is Judith Mascolo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Judith Mascolo enrolled in Medicare?

Yes. Judith Mascolo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judith Mascolo was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.