Individual provider Active NPI

Brian Scott Rizzo, D.O.

  • Facial Plastic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1720067390
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
AZ3597 Issued in AZ
Practice address
16841 N 31St Ave BLDG 2
Phoenix, AZ 85053-3029
Phone
(602) 843-4844
Fax
(602) 843-4846
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X AZ3597 AZ Primary

Addresses

Primary practice location

16841 N 31St Ave BLDG 2
Phoenix, AZ 85053-3029

Mailing address

24220 N 62ND Dr
Glendale, AZ 85310-2734
Phone (623) 572-5019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20031121000882 AZ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 6608770540

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Ohio University, College of Osteopathic Medicine, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16841 N 31St Ave
BLDG 2
Phoenix, AZ 85053-3029

Merit-based Incentive Payment System (MIPS)

Final score
27.5 of 100Reported as individual
Quality
55
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AZ3597AZMDFacial Plastic Surgery Physician
3597AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Ear, Nose & Throat Associates, P.C PastSince Jan 1, 1994 Accepting new patients
North Valley Ear, Nose & Throat Associates, P.C PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 2

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1720067390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24220 N 62ND DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102734",
            "telephone_number": "623-572-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16841 N 31ST AVE BLDG 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533029",
            "telephone_number": "602-843-4844",
            "fax_number": "602-843-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "AZ",
            "license": "AZ3597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.