Phoenix Plastic Surgery, PLLC
NPI 1508421819ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Phoenix, AZ
Surgery, Plastic and Reconstructive Surgery in Phoenix, Arizona, registered in NPPES in May 2019. The authorized official on file is Roni B. Prucz, MD, Managing Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508421819 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 2, 2019 |
| Last updated in NPPES | May 2, 2019 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
Other Surgery, Plastic and Reconstructive Surgery providers in Phoenix
- 1639330566
- 1568685477
- 1245138569
- 1265643449
- 1376713784
- 1780928135
- 1376870501
- 1639435886
- 1043433949
- 1972086924
- 1386237394
- 1699142497
All Surgery, Plastic and Reconstructive Surgery providers in Arizona →