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Ktl Plastic Surgery

NPI 1053834739ActiveOrganization· Plastic Surgery· Phoenix, AZ

Plastic Surgery in Phoenix, Arizona, registered in NPPES in July 2017. The authorized official on file is Mathew James, Patient Accounts.

Overview

NPI1053834739
StatusActive
Entity typeOrganization
NPI issuedJul 25, 2017
Last updated in NPPESJul 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Plastic Surgery Primary208200000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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