Syracuse Plastic Surgery, PLLC
NPI 1134757891ActiveOrganization· Plastic Surgery· Syracuse, NY
Plastic Surgery in Syracuse, New York, registered in NPPES in March 2020. The authorized official on file is Dean Deroberts, MD, Md/ Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134757891 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2020 |
| Last updated in NPPES | Aug 15, 2024 |
| Certified by provider | Aug 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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