Sp Plastic Surgery, LLC
NPI 1114332301 · Plastic Surgery Physician · Minnetonka, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sp Plastic Surgery, LLC is a Plastic Surgery Physician organization in Minnetonka, MN (NPI 1114332301).
Provider details
- NPI number
- 1114332301
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephanie Peng, President(763) 999-4170
- License
- 57866 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2014-06-25
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Frequently asked questions
- What is Sp Plastic Surgery, LLC's NPI number?
- Sp Plastic Surgery, LLC's National Provider Identifier (NPI) is 1114332301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sp Plastic Surgery, LLC?
- Sp Plastic Surgery, LLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Sp Plastic Surgery, LLC located?
- Sp Plastic Surgery, LLC's practice location on file with NPPES is 15450 Highway 7, Minnetonka, MN 55345-3522.
- What is Sp Plastic Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sp Plastic Surgery, LLC is (763) 999-4170.
- Does Sp Plastic Surgery, LLC accept Medicare?
- Sp Plastic Surgery, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sp Plastic Surgery, LLC?
- The authorized official listed on Sp Plastic Surgery, LLC's NPPES record is Stephanie Peng, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sp Plastic Surgery, LLC's NPI active?
- Yes — Sp Plastic Surgery, LLC's NPI (1114332301) is active in the NPPES registry as of the last update on 2022-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.