Active NPI
Jason Rizzo, M.D.
- MOHS-Micrographic Surgery Physician
- Estero, FL
National Provider Identifier
1124446554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 296429-1
- Practice address
- 23471 Walden Center Dr Ste 300
Estero, FL 34134-5016 - Phone
- (239) 498-3376
- Fax
- (239) 498-3379
- NPI assigned
- Apr 2, 2014
- Last updated
- Oct 6, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 296429-1 | NY | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 296429-1 | NY | Primary |
Addresses
Primary practice location
23471 Walden Center Dr Ste 300
Estero, FL 34134-5016
Mailing address
23471 Walden Center Dr Ste 300
Estero, FL 34134-5016
Phone (239) 498-3376
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jasonrizzo@westernnyderm.emadirect.md | Western New York Dermatology, PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2235 Venetian CT
Suite 1
Naples, FL 34109-8728
Phone 2395969337610
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 101 |
| Removal of tissue | 113 |
| Removal of skin lesions | 672 |
| Removal of skin cancer | 859 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 37 |
| Skin biopsy | 212 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296429-1 | NY | MD | MOHS-Micrographic Surgery Physician |
Interoperability endpoints
- drrizzo@woodruff.emadirect.md
- jasonrizzo@westernnyderm.emadirect.md
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1124446554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23471 WALDEN CENTER DR STE 300",
"city": "ESTERO",
"state": "FL",
"postal_code": "341345016",
"telephone_number": "239-498-3376",
"fax_number": "239-498-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23471 WALDEN CENTER DR STE 300",
"city": "ESTERO",
"state": "FL",
"postal_code": "341345016",
"telephone_number": "239-498-3376",
"fax_number": "239-498-3379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-02",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "296429-1",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NY",
"license": "296429-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jasonrizzo@westernnyderm.emadirect.md",
"affiliation": "Y",
"affiliationName": "Western New York Dermatology, PLLC",
"address_1": "295 Spindrift Dr",
"city": "Williamsville",
"state": "NY",
"country_code": "US",
"postal_code": "142211422",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.