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

Mark V Mazziotti, MD

Individual provider Pediatric Surgery Physician · NPI 1306809918

Mark V Mazziotti, MD is a General Surgery in Houston, Texas. Qualified in 1993, 33 years ago. Practices with Texas Childrens Physician Group, a 655-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Montana, Oklahoma and Texas.

Years since qualifying
33
Licensed in
AZ, MT, OK, TX
In the registry since
2006
Specialties on file
4
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

6621 Fannin St CC650 00
Houston, TX 77030-2303
Phone: (832) 822-3135
Fax: (832) 825-3141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1625 N Campbell Ave, Tucson, AZ 85719-4330 — (520) 626-7726
  • 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 — (406) 758-7490

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence L2453 (TX)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence MED-PHYS-LIC-100462 (MT)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 30540 (OK)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 75493 (AZ)

Record details

NPI number1306809918
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESAugust 29, 2025
Certification dateAugust 27, 2025
Mailing address2 Greenway Plaza, Suite 910, Houston, TX 77046

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Texas Childrens Physician Group — 655 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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