Individual provider Active NPI

Michael Joseph Fazzini, DO

  • Internal Medicine Physician
  • Butler, PA
National Provider Identifier
1417487703
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS020671 Issued in PA
Practice address
1 Hospital Way
Butler, PA 16001-4670
Phone
(724) 285-0823
Fax
(724) 285-0879
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS020671 PA Primary
Internal Medicine Physician 207R00000X 5101023377 MI

Addresses

Primary practice location

1 Hospital Way
Butler, PA 16001-4670

Mailing address

PO Box 1549
Butler, PA 16003-1549

Other practice location 1

100 Fairfield Dr
Seneca, PA 16346-2130
Phone (814) 676-7863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804003186 PA Practitioner - Internal Medicine 3173893500 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670

1 Hospital Way 4
Butler Infectious Disease Services
Butler, PA 16001-4670
Phone (724) 284-4309

100 Fairfield Dr
Seneca, PA 16346-2130
Phone (412) 432-5203

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (833) 995-0118

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

One Hospital Way 4TH Floor
BHS Women'S Care Associates
Butler, PA 16001-4670
Phone (844) 765-2845

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168
  • Upmc Northwest Hospital, Seneca, PA, CCN 390091
  • Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020671PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Butler Medical Providers Internal Medicine CurrentSince Jul 17, 2020 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Jul 17, 2020 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Butler Healthcare Providers Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

100 Fairfield Dr
Seneca, PA 16346
Phone (814) 676-7600

Interoperability endpoints

  • Direct secure messaging: mfazzini49032@direct.covenanthealthcare.com

Organizations & group practices 8

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 8

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1417487703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670",
            "telephone_number": "724-285-0823",
            "fax_number": "724-285-0879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Fairfield Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "PA",
            "postal_code": "163462130",
            "country_code": "US",
            "telephone_number": "814-676-7863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZZINI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS020671",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101023377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.