DR. JOHN D MAZZARELLA D.P.M.
NPI 1780748319
Orthopaedic Surgery - Foot and Ankle Surgery in Lisle, IL

Q: What is John Mazzarella's NPI number?

The NPI number for John Mazzarella is 1780748319. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is John Mazzarella's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Q: When was this NPI record last updated?

The NPPES record for John Mazzarella was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment

3033 OGDEN AVE, STE 110, LISLE, IL 60532(630) 355-3600(630) 355-3601 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 2, 2020, Aug 18, 2017 and 2 more (5 updates tracked since 2017).

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About Dr. John D Mazzarella D.p.m. NPPES

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

DR. JOHN D MAZZARELLA D.P.M. (NPI 1780748319) is an individual foot and ankle surgery provider in Lisle, Illinois, licensed in Illinois (016004364) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of William M. Scholl College Of Podiatric Medicine (1989).

NPPES Registry Identity

NPI1780748319

Entity TypeIndividualMale

Primary Taxonomy207XX0004X

Provider Legal NameDR. JOHN D MAZZARELLACredential: D.P.M.

Location Address3033 OGDEN AVE, STE 110Lisle, IL 60532-1976

Mailing Address3033 Ogden Ave, Ste 110Lisle, IL 60532-1976 · (630) 355-3600 · Fax (630) 355-3601

Phone(630) 355-3600

Fax(630) 355-3601

Sole ProprietorYes

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1989

Enumeration DateDecember 20, 2006

Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration

NPPES CertifiedJuly 2, 2020

✔ NPI 1780748319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XX0004X

License✔ Licensed in IL · 016004364

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

3033 OGDEN AVE, Lisle, IL 60532

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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

Dr. John D Mazzarella D.p.m. 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 ID3375619778

PECOS Enrollment IDI20080909000507

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 John Mazzarella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitae Health Medical Illinois, PLLC

26 mi

Internal Medicine

3450 OAKTON ST
Skokie, IL 60076

Reassigned Medicare billing, Illinois enrollment
491 clinicians in this Medicare group

NPI 1174013452 (224) 777-8034

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

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

412 services242 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

338 services192 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

334 services189 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

312 services142 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

202 services112 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

143 services82 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

62 services62 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

34 services33 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

33 services32 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

30 services24 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

28 services21 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

22 services22 patients

Dressing change under anesthesia 15852

"Dressing change under anesthesia" is a procedure where a healthcare provider changes a wound dressing while the patient is under anesthesia. This is usually done for deep or painful wounds. The anesthesia helps to manage pain and discomfort during the procedure.

20 services20 patients

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.

DUPAGE FAMILY CHIROPRACTIC PC

Chiropractor

3033 OGDEN AVE, SUITE 112
LISLE, IL 60532

Dupage County (630) 442-7175

DR. KIMBERLY E WRIGHT M.D.

Obstetrics & Gynecology

3033 OGDEN AVE, SUITE 300
LISLE, IL 60532

Dupage County (630) 717-5700

ZVEZDANA ILIC BOGOJEVIC M.D.

Internal Medicine

3033 OGDEN AVE, STE 101
LISLE, IL 60532

Dupage County (630) 646-6200

MONICA KANNENWISCHER

Marriage & Family Therapist

3033 OGDEN AVE, SUITE 210
LISLE, IL 60532

Dupage County (815) 577-3666

DR. SUE ANN BARRETT PHD, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

3033 OGDEN AVE, SUITE 210
LISLE, IL 60532

Dupage County (630) 357-4608

MR. GEORGE JEMISON LCPC

Counselor (Mental Health)

3033 OGDEN AVE, SUITE 210
LISLE, IL 60532

Dupage County (877) 443-7030

DR. BERNARD GLOS PH.D.

Psychologist (Clinical)

3033 OGDEN AVE, LEGACY CLINICAL CONSULTANTS SUITE 210
LISLE, IL 60532

Dupage County (630) 527-1664

DUPAGE HEALTH SPECIALISTS SC

Obstetrics & Gynecology

3033 OGDEN AVE, SUITE 300
LISLE, IL 60532

Dupage County (630) 717-5700

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 Mazzarella's NPI number?

The NPI number for John Mazzarella is 1780748319. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is John Mazzarella located?

John Mazzarella practices at 3033 Ogden Ave Ste 110, Lisle, IL 60532. The listed phone number is (630) 355-3600.

What is John Mazzarella's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is John Mazzarella enrolled in Medicare?

Yes. John Mazzarella 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 John Mazzarella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mazzarella reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, IL). 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 Mazzarella'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 Mazzarella was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.