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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since August 30, 2016PECOS EnrolledAccepts Medicare Assignment
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: August 30, 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
Phone(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
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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 20

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

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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 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 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.