MARY LOU POPOLIZIO NP
NPI 1720005713
Nurse Practitioner - Pediatrics in Rochester, NY
About Mary Lou Popolizio Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY LOU POPOLIZIO NP (NPI 1720005713) is an individual pediatrics provider in Rochester, New York, licensed in New York (277948) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Lou Popolizio Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mary Lou Popolizio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Western New York Medical Practice PC
- 1,030 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 14621 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.
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 Mary Lou Popolizio's NPI number?
The NPI number for Mary Lou Popolizio is 1720005713. It was assigned to this individual provider in the NPPES registry on July 16, 2006. The provider is also known as Mary Lou Pulcino Pnp.
Where is Mary Lou Popolizio located?
Mary Lou Popolizio practices at 1425 Portland Ave Rgpa, Rochester, NY 14621. The listed phone number is (585) 922-2575.
What is Mary Lou Popolizio's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Mary Lou Popolizio enrolled in Medicare?
Yes. Mary Lou Popolizio is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mary Lou Popolizio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Lou Popolizio reassigns Medicare benefits to 2 organizations: Rochester General Hospital (Rochester, NY) and Western New York Medical Practice P.C. (Rochester, NY). Each 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 Mary Lou Popolizio'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 Mary Lou Popolizio was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mary Lou Popolizio, NP · NPI 1720005713
Pediatrics physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since July 16, 2006.
## Identity
- **NPI:** 1720005713 (Entity type: Individual)
- **Enumerated:** July 16, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 277948 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 PORTLAND AVE, RGPA, Rochester, NY 14621-3001
- **Phone:** (585) 922-2575
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Rochester General Hospital (NPI 1063531929, Rochester, NY); Western New York Medical Practice P.C. (NPI 1063790608, Rochester, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2012
- **Other identifiers:** Medicaid 02565222 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1720005713) · Data from the CMS NPPES public registry.