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JOSEPH F MAZZA JR MD PA
NPI 1164664751
Plastic Surgery in Fort Myers, FL

Active since March 30, 2009
12640 CREEKSIDE LN, FORT MYERS, FL 33919(239) 482-7676(239) 482-7604 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joseph F Mazza Jr Md Pa NPPES

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

JOSEPH F MAZZA JR MD PA (NPI 1164664751) is a healthcare organization registered as a plastic surgery in Fort Myers, Florida and active in the NPI registry since March 2009. The organization lists Jospeh F Mazza, President, as its authorized official.

NPPES Registry Identity

NPI1164664751
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameJOSEPH F MAZZA JR MD PA
Location Address12640 CREEKSIDE LNFort Myers, FL 33919-3359
Mailing Address12640 Creekside LnFort Myers, FL 33919-3359 · (239) 482-7676 · Fax (239) 482-7604
Phone(239) 482-7676
Fax(239) 482-7604
Organization SubpartNo
Authorized OfficialJospeh F MazzaPresident · (239) 482-7676
Enumeration DateMarch 30, 2009
✔ NPI 1164664751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
12640 CREEKSIDE LN, Fort Myers, FL 33919
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Other Identifiers 1

Medicare UPINE21433FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph F Mazza Jr Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Joseph F Mazza Jr MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Joseph Mazza, M.D.
Plastic and Reconstructive Surgery
NPI 1639148281
12640 CREEKSIDE LN
Ft Myers, FL 33919
(239) 482-7676
✔ PECOS✔ Accepts MedicareSame address
Davek Sharma, MD
Plastic and Reconstructive Surgery
NPI 1255786943
12640 CREEKSIDE LN
Fort Myers, FL 33919
(239) 482-7676
✔ PECOS✔ Accepts MedicareSame address

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

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 Joseph F Mazza Jr MD PA's NPI number?

The NPI number for Joseph F Mazza Jr MD PA is 1164664751. It was assigned to this organization in the NPPES registry on March 30, 2009.

Where is Joseph F Mazza Jr MD PA located?

Joseph F Mazza Jr MD PA is located at 12640 Creekside Ln, Fort Myers, FL 33919. The listed phone number is (239) 482-7676.

What is Joseph F Mazza Jr MD PA's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Joseph F Mazza Jr MD PA enrolled in Medicare?

Yes. Joseph F Mazza Jr MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Joseph F Mazza Jr MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Joseph F Mazza Jr MD PA. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Joseph F Mazza Jr MD PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Joseph F Mazza Jr MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph F Mazza Jr MD PA was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.