MARCELLO A BORZATTA MD PA
NPI 1609090158
Surgery - Vascular Surgery in Crestview, FL
About Marcello A Borzatta Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARCELLO A BORZATTA MD PA (NPI 1609090158) is a healthcare organization registered as a vascular surgery in Crestview, Florida and active in the NPI registry since April 2007. The organization lists Marcello A Borzatta, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marcello A Borzatta Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Marcello A Borzatta MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Marcello A Borzatta MD PA's NPI number?
The NPI number for Marcello A Borzatta MD PA is 1609090158. It was assigned to this organization in the NPPES registry on April 13, 2007.
Where is Marcello A Borzatta MD PA located?
Marcello A Borzatta MD PA is located at 435 Brookmeade Dr, Crestview, FL 32539. The listed phone number is (850) 305-2105.
What is Marcello A Borzatta MD PA's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Marcello A Borzatta MD PA enrolled in Medicare?
Yes. Marcello A Borzatta MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Marcello A Borzatta MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Marcello A Borzatta 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Marcello A Borzatta MD PA was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Marcello A Borzatta Md Pa · NPI 1609090158
Vascular Surgery organization in Crestview, Florida. Organization record, active in the CMS NPPES registry since April 13, 2007.
## Identity
- **NPI:** 1609090158 (Entity type: Organization)
- **Enumerated:** April 13, 2007
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Marcello Borzatta, PRESIDENT
## Practice location
- **Address:** 435 BROOKMEADE DR, Crestview, FL 32539-7304
- **Phone:** (850) 305-2105 · **Fax:** (239) 663-3061
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Vascular Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2024
- **Other identifiers:** Other 93788; Medicaid 277995100 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1609090158) · Data from the CMS NPPES public registry.