AMANDA FAZZALARI M.D.
NPI 1144776139
Surgery - Plastic and Reconstructive Surgery in Houston, TX

Q: What is Amanda Fazzalari's NPI number?

The NPI number for Amanda Fazzalari is 1144776139. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Q: What is Amanda Fazzalari's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Fazzalari was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2016PECOS EnrolledAccepts Medicare Assignment

1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Amanda Fazzalari M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA FAZZALARI M.D. (NPI 1144776139) is an individual plastic and reconstructive surgery provider in Houston, Texas, licensed in Texas (V5529) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144776139

Entity TypeIndividualFemale

Primary Taxonomy2086S0122X

Provider Legal NameAMANDA FAZZALARICredential: M.D.

Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000

Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991

Phone(713) 792-6161

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 30, 2016

Last NPPES UpdateJuly 15, 2025

NPPES CertifiedJuly 15, 2025

✔ NPI 1144776139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in TX · V5529

Definition

A surgeon who specializes in plastic and reconstructive surgery.

1515 HOLCOMBE BLVD, Houston, TX 77030

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Fazzalari M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416243613

PECOS Enrollment IDI20250729003963

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JADE SCHIFFMAN M.D.

Ophthalmology

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-2121

MARINA GEORGE MD

Internal Medicine

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

DR. JENNIE L REXER PHD

Clinical Neuropsychologist

1515 HOLCOMBE BLVD, MD ANDERSON DEPT OF NEURO-ONCOLOGY BOX 431
HOUSTON, TX 77030

Harris County (713) 754-5051

JANEY DELORES HOPKINS CRNA

Nurse Anesthetist, Certified Registered

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 606-3293

DR. LINUS HO M.D., PH.D.

Internal Medicine (Hematology & Oncology)

1515 HOLCOMBE BLVD, UNIT 426
HOUSTON, TX 77030

Harris County (713) 792-2828

DR. JEAN HANNA TAYAR MD

Internal Medicine (Rheumatology)

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

NORMAN JOSE BRITO-DELLAN MD

Internal Medicine

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

JOHN W. DAVIS M.D.

Urology

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Fazzalari's NPI number?

The NPI number for Amanda Fazzalari is 1144776139. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Amanda Fazzalari located?

Amanda Fazzalari practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Amanda Fazzalari's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Amanda Fazzalari enrolled in Medicare?

Yes. Amanda Fazzalari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Fazzalari was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.