Individual provider Active NPI

Jason Rizzo, M.D.

  • MOHS-Micrographic Surgery Physician
  • Estero, FL
National Provider Identifier
1124446554
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
296429-1 Issued in NY
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

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221019001747 FL Practitioner - Micrographic Dermatologic Surgery (MDS) 4385954858 Reassigns benefits to 1 organization

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
Woodruff Institute LLCGroup PAC ID 1658351101, 22 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision101
Removal of tissue113
Removal of skin lesions672
Removal of skin cancer859
Removal of nail tissue1-10
Removal or shaving of skin growth37
Skin biopsy212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
296429-1NYMDLicensed Practical Nurse

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.