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

Dr. Michael A. Mazzilli, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1962474130

Dr. Michael A. Mazzilli, MD is a Pain Management in Portsmouth, Virginia. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 1990, 36 years ago. Practices with Idaho Pain Clinic PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
36
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (757) 953-3238
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 0101237371 (VA)

Record details

NPI number1962474130
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 2, 2006
Last updated in NPPESNovember 22, 2021

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 1990 (36 years in practice)
Group practice Idaho Pain Clinic Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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