MICHAEL MAZZOTTA M.D.
NPI 1841427572
Pediatrics in Portland, OR
About Michael Mazzotta M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL MAZZOTTA M.D. (NPI 1841427572) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD173217) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted 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
Michael Mazzotta M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Michael Mazzotta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 20 clinicians in this Medicare group
Portland, OR 97232
- Reassigned Medicare billing, Oregon enrollment
- 338 clinicians in this Medicare group
Portland, OR 97214
- Reassigned Medicare billing, Oregon enrollment
- 3,207 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 97213 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 Michael Mazzotta's NPI number?
The NPI number for Michael Mazzotta is 1841427572. It was assigned to this individual provider in the NPPES registry on June 21, 2009.
Where is Michael Mazzotta located?
Michael Mazzotta practices at 4212 NE Broadway, Portland, OR 97213. The listed phone number is (503) 249-8787.
What is Michael Mazzotta's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Michael Mazzotta enrolled in Medicare?
Yes. Michael 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 organizations bill Medicare for Michael Mazzotta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mazzotta reassigns Medicare benefits to 3 organizations: Broadway Medical Clinic LLP (Portland, OR), The Oregon Clinic PC (Portland, OR) and Kaiser Foundation Health Plan Of The Northwest (Portland, OR). 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 Michael Mazzotta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Mazzotta accept?
Health plans from Moda Health Plan, Inc. list Michael 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 Michael Mazzotta was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.
# Michael Mazzotta, M.D. · NPI 1841427572
Pediatrics physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 21, 2009.
## Identity
- **NPI:** 1841427572 (Entity type: Individual)
- **Enumerated:** June 21, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD173217 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4212 NE BROADWAY, Portland, OR 97213-1422
- **Phone:** (503) 249-8787 · **Fax:** (503) 382-7706
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Broadway Medical Clinic LLP (NPI 1720082316, Portland, OR); The Oregon Clinic PC (NPI 1265417174, Portland, OR); Kaiser Foundation Health Plan Of The Northwest (NPI 1063990695, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Massachusetts Medical School, class of 2009
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Medicaid 2030611 (WA); Medicaid 500662119 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1841427572) · Data from the CMS NPPES public registry.