OrganizationActive
Ktl Plastic Surgery
NPI 1053834739 · Plastic Surgery Physician · Phoenix, AZ
Ktl Plastic Surgery is a Plastic Surgery Physician organization in Phoenix, AZ (NPI 1053834739).
Provider details
- NPI number
- 1053834739
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mathew James, Patient Accounts(631) 827-8159
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10910 N Tatum Blvd Ste B100
Phoenix, AZ 85028-3080
Phone: (631) 827-8159
Street-level locationGet directions
Mailing address
10910 N Tatum Blvd Ste B100
Phoenix, AZ 85028-3080
Registry dates
- Enumerated
- 2017-07-25
- Last updated
- 2022-07-21
Frequently asked questions
- What is Ktl Plastic Surgery's NPI number?
- Ktl Plastic Surgery's National Provider Identifier (NPI) is 1053834739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ktl Plastic Surgery?
- Ktl Plastic Surgery is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Ktl Plastic Surgery located?
- Ktl Plastic Surgery's practice location on file with NPPES is 10910 N Tatum Blvd Ste B100, Phoenix, AZ 85028-3080.
- What is Ktl Plastic Surgery's phone number?
- The practice phone number listed in the NPPES registry for Ktl Plastic Surgery is (631) 827-8159.
- Who is the authorized official for Ktl Plastic Surgery?
- The authorized official listed on Ktl Plastic Surgery's NPPES record is Mathew James, Patient Accounts. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ktl Plastic Surgery's NPI active?
- Yes — Ktl Plastic Surgery's NPI (1053834739) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.