Scottsdale Plastics, PLLC
NPI 1679920862ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Scottsdale, AZ
Surgery, Plastic and Reconstructive Surgery in Scottsdale, Arizona, registered in NPPES in May 2016. The authorized official on file is Robert Granillo Bonillas, M.D., Owner/Physician.
Overview
| NPI | 1679920862 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2016 |
| Last updated in NPPES | May 18, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | 40994 | AZ |
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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