AMANDA RIZZO WALSH MD, MS
NPI 1760045918
Surgery - Plastic and Reconstructive Surgery in Melville, NY

Active since April 15, 2019PECOS Enrolled
510 BROADHOLLOW RD STE 100, MELVILLE, NY 11747(631) 424-3600 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2025, May 27, 2025, Apr 15, 2019 (3 updates tracked since 2019).

About Amanda Rizzo Walsh Md, Ms NPPES

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

AMANDA RIZZO WALSH MD, MS (NPI 1760045918) is an individual plastic and reconstructive surgery provider in Melville, New York, licensed in New York (327612) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760045918
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameAMANDA RIZZO WALSHCredential: MD, MS
Location Address510 BROADHOLLOW RD STE 100Melville, NY 11747-3606
Mailing Address510 Broadhollow Rd Ste 100Melville, NY 11747-3606 · (631) 424-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 15, 2019
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
NPI 1760045918 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 NY · 327612
Definition
A surgeon who specializes in plastic and reconstructive surgery.
510 BROADHOLLOW RD STE 100, Melville, NY 11747

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Rizzo Walsh Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587994041
PECOS Enrollment IDI20260422002937
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.

Other Providers at the Same Location NPPES 5

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

Plastic Surgery
510 BROADHOLLOW RD STE 100
MELVILLE, NY 11747
Plastic Surgery
510 BROADHOLLOW RD STE 100
MELVILLE, NY 11747
Plastic Surgery
510 BROADHOLLOW RD STE 100
MELVILLE, NY 11747
Surgery (Plastic and Reconstructive Surgery)
510 BROADHOLLOW RD STE 100
MELVILLE, NY 11747
Plastic Surgery
510 BROADHOLLOW RD STE 100
MELVILLE, NY 11747

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 Amanda Walsh's NPI number?

The NPI number for Amanda Walsh is 1760045918. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Amanda Walsh located?

Amanda Walsh practices at 510 Broadhollow Rd Ste 100, Melville, NY 11747. The listed phone number is (631) 424-3600.

What is Amanda Walsh's specialty?

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

Is Amanda Walsh enrolled in Medicare?

Yes. Amanda Walsh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Walsh was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.