PHILLIP RYAN ROZAK MD NPI 1255776019

NPI Information

  • NPI: 1255776019
  • Provider Name: PHILLIP RYAN ROZAK, MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1676 SUNSET AVE
    UTICA, NY
    ZIP 13502
  • Phone: (315) 624-8110

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NPI Details

Phillip Ryan Rozak, MD is a plastic and reconstructive surgery surgery in Utica, NY with 13 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Phillip Ryan Rozak, MD NPI is 1255776019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

1676 SUNSET AVE
UTICA, NY
ZIP 13502-416
Phone: (315) 624-8110
Fax: (315) 624-5775

The NPI 1255776019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection into tendon or ligament (HCPCS:20550)

The enumeration date for this NPI number is 5/7/2013 and was last updated on 5/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryBP10047063TEXASNo
22086S0122XSurgeryPlastic and Reconstructive Surgery333186NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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