Defatta Ent & Facial Plastic Surgery Sc
NPI 1346664059 · Specialist · Altoona, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Defatta Ent & Facial Plastic Surgery Sc is a Specialist organization in Altoona, WI (NPI 1346664059).
Provider details
- NPI number
- 1346664059
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Robert Defatta, Owner(715) 828-2368
- License
- 55984-20 (WI)
Specialties & taxonomies
Other Service Providers
Ambulatory Health Care Facilities
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
- 2014-02-17
- Last updated
- 2014-05-05
Frequently asked questions
- What is Defatta Ent & Facial Plastic Surgery Sc's NPI number?
- Defatta Ent & Facial Plastic Surgery Sc's National Provider Identifier (NPI) is 1346664059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Defatta Ent & Facial Plastic Surgery Sc?
- Defatta Ent & Facial Plastic Surgery Sc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Defatta Ent & Facial Plastic Surgery Sc located?
- Defatta Ent & Facial Plastic Surgery Sc's practice location on file with NPPES is 1490 Rivers Edge Trail, Altoona, WI 54720-1495.
- What is Defatta Ent & Facial Plastic Surgery Sc's phone number?
- The practice phone number listed in the NPPES registry for Defatta Ent & Facial Plastic Surgery Sc is (715) 828-2368.
- Does Defatta Ent & Facial Plastic Surgery Sc accept Medicare?
- Defatta Ent & Facial Plastic Surgery Sc 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 Defatta Ent & Facial Plastic Surgery Sc?
- The authorized official listed on Defatta Ent & Facial Plastic Surgery Sc's NPPES record is Robert Defatta, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Defatta Ent & Facial Plastic Surgery Sc's NPI active?
- Yes — Defatta Ent & Facial Plastic Surgery Sc's NPI (1346664059) is active in the NPPES registry as of the last update on 2014-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.