Premier Plastic and Reconstructive Surgery PLLC
NPI 1780343848ActiveOrganization· Surgery, Surgical Critical Care· San Antonio, TX
Surgery, Surgical Critical Care in San Antonio, Texas, registered in NPPES in December 2021. The authorized official on file is Chandra Varner Ellis, Provider / Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780343848 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2021 |
| Last updated in NPPES | Mar 28, 2026 |
| Certified by provider | Mar 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Surgical Critical Care Primary | 2086S0102X | — | — |
| Surgery | 208600000X | — | — |
| Surgery, Plastic and Reconstructive Surgery | 2086S0122X | — | — |
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 (TX) |
|---|
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