Individual provider Active NPI

Adam Walter Mizzi, RPA-C

  • Physician Assistant
  • Canandaigua, NY
National Provider Identifier
1396944682
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011926-1 Issued in NY
Practice address
351 North St
Canandaigua, NY 14424-1297
Phone
(585) 975-5125
Fax
(585) 393-1663
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011926-1 NY Primary

Addresses

Primary practice location

351 North St
Canandaigua, NY 14424-1297

Mailing address

351 North St
Canandaigua, NY 14424-1297
Phone (585) 975-5125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071211000627 NY Practitioner - Physician Assistant 0749379923 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Frederick Ferris Thompson HospitalGroup PAC ID 3274428586, 227 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

351 N St
Suite 100
Canandaigua, NY 14424-1297
Phone (585) 975-5125

4302 Gateway Dr
Geneseo, NY 14454-9449
Phone (585) 922-1000

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011926-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Oct 9, 2023 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 9, 2023 Accepting new patients
Rochester General Hospital CurrentSince Oct 9, 2023 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Oct 9, 2023 Accepting new patients
United Memorial Medical Center CurrentSince Oct 9, 2023 Accepting new patients
The Frederick Ferris Thompson Hospital Past Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

4302 Gateway Dr
Geneseo, NY 14454
Phone (585) 295-5450

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1396944682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NORTH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241297",
            "telephone_number": "585-975-5125",
            "fax_number": "585-393-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NORTH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241297",
            "telephone_number": "585-975-5125",
            "fax_number": "585-393-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZZI",
        "first_name": "ADAM",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011926-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.