Koda Plastic Surgery
NPI 1336980069ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Scottsdale, AZ
Surgery, Plastic and Reconstructive Surgery in Scottsdale, Arizona, registered in NPPES in June 2024. The authorized official on file is Alicia A. Raghib, MEDICAL ASSISTANT, Practice Manager.
Overview
| NPI | 1336980069 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 5, 2024 |
| Last updated in NPPES | Jun 12, 2024 |
| Certified by provider | Jun 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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