Phoenix Plastic Surgery, PLLC
NPI 1508421819 · Plastic and Reconstructive Surgery Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Plastic Surgery, PLLC is a Plastic and Reconstructive Surgery Physician organization in Phoenix, AZ (NPI 1508421819).
Provider details
- NPI number
- 1508421819
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roni Prucz, Managing Partner(480) 625-0003
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
7 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
- 2019-05-02
- Last updated
- 2019-05-02
Frequently asked questions
- What is Phoenix Plastic Surgery, PLLC's NPI number?
- Phoenix Plastic Surgery, PLLC's National Provider Identifier (NPI) is 1508421819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Plastic Surgery, PLLC?
- Phoenix Plastic Surgery, PLLC is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Phoenix Plastic Surgery, PLLC located?
- Phoenix Plastic Surgery, PLLC's practice location on file with NPPES is 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402.
- What is Phoenix Plastic Surgery, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Plastic Surgery, PLLC is (602) 331-7811.
- Does Phoenix Plastic Surgery, PLLC accept Medicare?
- Phoenix Plastic Surgery, PLLC 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 Phoenix Plastic Surgery, PLLC?
- The authorized official listed on Phoenix Plastic Surgery, PLLC's NPPES record is Roni Prucz, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Plastic Surgery, PLLC's NPI active?
- Yes — Phoenix Plastic Surgery, PLLC's NPI (1508421819) is active in the NPPES registry as of the last update on 2019-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.