Bluemont Plastic Surgery, PC
NPI 1023405297ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Fairfax, VA
Surgery, Plastic and Reconstructive Surgery in Fairfax, Virginia, registered in NPPES in April 2015. The authorized official on file is Mark Christian Domanski, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023405297 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2015 |
| Last updated in NPPES | Jul 18, 2023 |
| Certified by provider | Jul 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
| Otolaryngology | 207Y00000X | 0101257764 | VA |
| Plastic Surgery | 208200000X | 0101257764 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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