AMANDA FAZZALARI M.D.
NPI 1144776139
Surgery - Plastic and Reconstructive Surgery in Rochester, NY

Active since August 30, 2016PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-1000 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2026, Aug 30, 2016 (2 updates tracked since 2016).

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 Rochester, New York, licensed in New York (344042) 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 Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box SurgRochester, NY 14642-8410 · (585) 275-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 30, 2016
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ 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
Licenses✔ Licensed in NY · 344042✔ Licensed in TX · V5529
Definition
A surgeon who specializes in plastic and reconstructive surgery.
601 ELMWOOD AVE, Rochester, NY 14642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Fazzalari M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Fazzalari reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Plastic Surgery
601 ELMWOOD AVE, BOX 661
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 29 clinicians in this Medicare group
Multi-Specialty
1515 HOLCOMBE BLVD
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,675 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-1000.

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 enrollment system.

Which organizations bill Medicare for Amanda Fazzalari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Fazzalari reassigns Medicare benefits to 2 organizations: U Of R Plastic Surgeons (Rochester, NY) and Physicians Referral Service (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Fazzalari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Fazzalari was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.