Koda Plastic Surgery
NPI 1336980069 · Plastic and Reconstructive Surgery Physician · Scottsdale, AZ
Koda Plastic Surgery is a Plastic and Reconstructive Surgery Physician organization in Scottsdale, AZ (NPI 1336980069).
Provider details
- NPI number
- 1336980069
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alicia Raghib, Practice Manager(616) 914-8894
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
2 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
- 2024-06-05
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Koda Plastic Surgery's NPI number?
- Koda Plastic Surgery's National Provider Identifier (NPI) is 1336980069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koda Plastic Surgery?
- Koda Plastic Surgery is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Koda Plastic Surgery located?
- Koda Plastic Surgery's practice location on file with NPPES is 9097 E Desert Cove Ave Ste 100, Scottsdale, AZ 85260-6276.
- What is Koda Plastic Surgery's phone number?
- The practice phone number listed in the NPPES registry for Koda Plastic Surgery is (616) 914-8894.
- Who is the authorized official for Koda Plastic Surgery?
- The authorized official listed on Koda Plastic Surgery's NPPES record is Alicia Raghib, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Koda Plastic Surgery's NPI active?
- Yes — Koda Plastic Surgery's NPI (1336980069) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.