Kelly Mazzarella, D.O.
NPI 1770841165 · Pediatrics Physician · Dallas, TX
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Mazzarella, D.O. is a Pediatrics Physician provider in Dallas, TX (NPI 1770841165).
Provider details
- NPI number
- 1770841165
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- License
- S1514 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 221 Third St Bldg 1040Attn: 359 Mdg/SghqJbsa Randolph, TX 78150Phone: (210) 652-8544
Registry dates
- Enumerated
- 2012-04-24
- Last updated
- 2020-06-03
- Certified
- 2020-06-03
Frequently asked questions
- What is Kelly Mazzarella's NPI number?
- Kelly Mazzarella's National Provider Identifier (NPI) is 1770841165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Mazzarella's specialty?
- Kelly Mazzarella is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Mazzarella located?
- Kelly Mazzarella's practice location on file with NPPES is 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200.
- What is Kelly Mazzarella's phone number?
- The practice phone number listed in the NPPES registry for Kelly Mazzarella is (214) 730-5437.
- Does Kelly Mazzarella accept Medicare?
- Kelly Mazzarella is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Mazzarella's NPI active?
- Yes — Kelly Mazzarella's NPI (1770841165) is active in the NPPES registry as of the last update on 2020-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.