Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jason Rizzo, MD

Individual provider Dermatology Physician · NPI 1124446554

Dr. Jason Rizzo, MD is a Micrographic Dermatologic Surgery (Mds) in Estero, Florida. Qualified in 2014, 12 years ago. Practices with Woodruff Institute LLC, a 22-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

23471 Walden Center Dr Ste 300
Estero, FL 34134-5016
Phone: (239) 498-3376
Fax: (239) 498-3379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 296429-1 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 296429-1 (NY)

Record details

NPI number1124446554
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2014
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address295 Spindrift Dr, Williamsville, NY 14221-4701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Woodruff Institute Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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