Gregg Mastropolo, CAA
Anesthesiologist Assistant in Washington, DC. Individual provider (NPI-1).
NPI number1083663884
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1083663884
- Entity type
- Individual (NPI-1)
- Name
- Gregg Mastropolo
- Credential
- CAA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2006
- Certification date
- Mar 4, 2021
- Last updated
- Mar 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY ASSISTANT
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | A000014 | DC | Yes |
Practice location
900 23rd St NwWashington, DC 20037-2342
Phone 202-823-4254
Mailing address
150 S Little Tor RdNew City, NY 10956-3126
Phone 706-888-2722 · Fax 845-230-7677
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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