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
- 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
295 Spindrift Dr
Williamsville, NY 14221-4701
Phone (716) 831-2600
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 | Licensed Practical Nurse |
Interoperability endpoints
- drrizzo@woodruff.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 and National Provider Directory roles.
-
- Dermatology Physician
- Naples, FL
- NPI 1558371195
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": "1723075200000",
"number": "1124446554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 SPINDRIFT DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214701",
"telephone_number": "716-831-2600",
"fax_number": "716-831-2601"
},
{
"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": "2024-08-08",
"certification_date": "2024-08-08",
"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 Aug 8, 2024; 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.