DR. MICHAEL A. MAZZILLI (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1962474130

DR. MICHAEL A. MAZZILLI (M.D.) is a healthcare provider. based in Suffolk, Virginia. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101237371 (VA). The NPI Number for DR. MICHAEL A. MAZZILLI (M.D.) is 1962474130

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL A. MAZZILLI (M.D.)
NPI
1962474130
Phone
(757) 686-8685
Address
5103 TURNBERRY CT
Enumeration Date
2 February 2006
Last Update Date
22 November 2021

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
2082639757
Graduation Year
1990 (36 years ago)
PAC ID
1153558796
Group Practice PAC ID
3274712609
Professional Enrollment ID
I20210419001859
Address ID
ID838642742SA1327XSTXX401

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

224 PAIN MANAGEMENT in VA

Provider Addresses for DR. MICHAEL A. MAZZILLI (M.D.)

  • 5103, Turnberry Court, Suffolk, Virginia, 23435, United States

    SUFFOLK, VA 234353504

    Phone: (757) 686-8685

    Type: Mailing

  • 620 JOHN PAUL JONES CIR

    PORTSMOUTH, VA 237082111

    Phone: (757) 953-3238

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Nalu Medical, Inc. ($48).

Total Amount

$127

General + Research + Ownership

Payments

6

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210419001859IPain ManagementIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes6144$0
62323Injection of substance into lower spine canal using imaging guidance5548$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level5144$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level4834$0
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint4028$0
View full utilization report →

Insurance plans in this area (ZIP 23435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274712609View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerID
Physician AssistantWA
-GA
-ID
Physician AssistantOR
Physician AssistantWA
Physician AssistantWA
Nurse PractitionerID
Interventional Pain Management, Interventional Pain Management, Anesthesiology, AnesthesiologyID

Reviews

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Frequently asked questions

Does DR. MICHAEL A. MAZZILLI (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MICHAEL A. MAZZILLI (M.D.) uses 1962474130.
Can I rely on DR. MICHAEL A. MAZZILLI (M.D.) being an active provider?
As of the registry snapshot, DR. MICHAEL A. MAZZILLI (M.D.) is marked active.
What is DR. MICHAEL A. MAZZILLI (M.D.)'s primary classification?
Pain Medicine (Anesthesiology) Physician is the headline specialty for DR. MICHAEL A. MAZZILLI (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MICHAEL A. MAZZILLI (M.D.)?
DR. MICHAEL A. MAZZILLI (M.D.)'s geographic hint is Suffolk, Virginia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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