PHILLIP RYAN ROZAK MD
NPI 1255776019
Surgery - Plastic and Reconstructive Surgery in Utica, NY

Q: What is Phillip Rozak's NPI number?

The NPI number for Phillip Rozak is 1255776019. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Q: What is Phillip Rozak'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 Phillip Rozak was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment

1676 SUNSET AVE, UTICA, NY 13502(315) 624-8110(315) 624-5775 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Phillip Ryan Rozak Md NPPES

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

PHILLIP RYAN ROZAK MD (NPI 1255776019) is an individual plastic and reconstructive surgery provider in Utica, New York, licensed in New York (333186) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains a secondary practice location in Galveston.

NPPES Registry Identity

NPI1255776019

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NamePHILLIP RYAN ROZAKCredential: MD

Location Address1676 SUNSET AVEUtica, NY 13502-5416

Mailing Address1676 Sunset AveUtica, NY 13502-5416 · (315) 624-8110 · Fax (315) 624-5775

Phone(315) 624-8110

Fax(315) 624-5775

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2013

Enumeration DateMay 7, 2013

Last NPPES UpdateMay 28, 2025

NPPES CertifiedMay 28, 2025

✔ NPI 1255776019 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 · 333186✔ Licensed in TX · BP10047063

Definition

A surgeon who specializes in plastic and reconstructive surgery.

1676 SUNSET AVE, Utica, NY 13502

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Secondary Practice Location 1

Location 1301 University BlvdGalveston, TX 77555-0724 · Phone (409) 772-1255 · Fax (409) 772-1872

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

Phillip Ryan Rozak Md 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 ID6608286661

PECOS Enrollment IDI20241226000989

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

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.

ROSAYSELA CABRERA MSW

Social Worker