DR. JOHN R FAZIO M.D.
NPI 1619960721
Pathology - Anatomic Pathology & Clinical Pathology in Syracuse, NY
About Dr. John R Fazio M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN R FAZIO M.D. (NPI 1619960721) is an individual anatomic pathology & clinical pathology provider in Syracuse, New York, licensed in New York (191793) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John R Fazio M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Fazio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 8 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SYRACUSE, NY 13215
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 John Fazio's NPI number?
The NPI number for John Fazio is 1619960721. It was assigned to this individual provider in the NPPES registry on August 24, 2005.
Where is John Fazio located?
John Fazio practices at 4900 Broad Rd Pathology Dept, Syracuse, NY 13215. The listed phone number is (315) 492-5096.
What is John Fazio's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is John Fazio enrolled in Medicare?
Yes. John Fazio is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Fazio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Fazio reassigns Medicare benefits to Pathology Associates Of Syracuse, PC (Syracuse, NY). The 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 John Fazio'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 John Fazio was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. John R Fazio, M.D. · NPI 1619960721
Anatomic Pathology & Clinical Pathology physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since August 24, 2005.
## Identity
- **NPI:** 1619960721 (Entity type: Individual)
- **Enumerated:** August 24, 2005
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 191793 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4900 BROAD RD, PATHOLOGY DEPT, Syracuse, NY 13215-2265
- **Phone:** (315) 492-5096
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pathology Associates Of Syracuse, PC (NPI 1629061791, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2007
- **Other identifiers:** Medicare PIN DD0593; Medicare UPIN F53514 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1619960721) · Data from the CMS NPPES public registry.