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MARI REBANE-MAZZOTTA MD
NPI 1659599488
Surgery - Plastic and Reconstructive Surgery in Middletown, CT

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
535 SAYBROOK RD, MIDDLETOWN, CT 06457(860) 343-0122 Get Directions Write a Review

NPPES record last updated: July 25, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mari Rebane-mazzotta Md NPPES

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

MARI REBANE-MAZZOTTA MD (NPI 1659599488) is an individual plastic and reconstructive surgery provider in Middletown, Connecticut, licensed in Connecticut (049437) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2003).

NPPES Registry Identity

NPI1659599488
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameMARI REBANE-MAZZOTTACredential: MD
Location Address535 SAYBROOK RDMiddletown, CT 06457-4743
Mailing Address535 Saybrook RdMiddletown, CT 06457-4743 · (860) 343-0122
Phone(860) 343-0122
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2003
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 25, 2011
✔ NPI 1659599488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in CT · 049437
Definition
A surgeon who specializes in plastic and reconstructive surgery.
535 SAYBROOK RD, Middletown, CT 06457
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Other Names 1

Former Name (1)Mari Rebane Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mari Rebane-mazzotta 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 ID8527214378
PECOS Enrollment IDI20120809000471
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.

Medicare Billing Reassignment

Medicare enrollment records show Mari Rebane-mazzotta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Middlesex Plastic Surgery Center,llc
Same address
Plastic Surgery
535 SAYBROOK RD
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1174801898 (860) 343-0122

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

Other Providers at the Same Location NPPES 9

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

DR. AYMAN MAURICE LATIF DPM
Podiatrist
535 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-5226
DR. JOHN RUSSO D.M.D.
Dentist (Endodontics)
535 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-7497
APOLLONIA DENTAL LLC
Dentist (General Practice)
535 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 704-8000
ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT
Dentist (Orthodontics and Dentofacial Orthopedics)
535 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-9259
MIDDLESEX PLASTIC SURGERY CENTER,LLC
Plastic Surgery
535 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-0122
DANUTA JAWORSKA-BZYMEK MD
Plastic Surgery (Surgery of the Hand)
535 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-0122
MICHAEL BRUGG DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
535 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-9259
DR. STEPHEN PERLMUTTER D.P.M.
Podiatrist
535 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-5226

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 Mari Rebane-mazzotta's NPI number?

The NPI number for Mari Rebane-mazzotta is 1659599488. It was assigned to this individual provider in the NPPES registry on April 24, 2007. The provider is also known as Mari Rebane MD.

Where is Mari Rebane-mazzotta located?

Mari Rebane-mazzotta practices at 535 Saybrook Rd, Middletown, CT 06457. The listed phone number is (860) 343-0122.

What is Mari Rebane-mazzotta's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Mari Rebane-mazzotta enrolled in Medicare?

Yes. Mari Rebane-mazzotta 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.

Which organization bills Medicare for Mari Rebane-mazzotta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mari Rebane-mazzotta reassigns Medicare benefits to Middlesex Plastic Surgery Center,llc (Middletown, CT). 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 Mari Rebane-mazzotta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mari Rebane-mazzotta accept?

Health plans from Anthem Blue Cross and Blue Shield list Mari Rebane-mazzotta 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 Mari Rebane-mazzotta was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.