What is Executive Plastic Surgery, PLLC's NPI number?

Executive Plastic Surgery, PLLC's National Provider Identifier (NPI) is 1649675174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Executive Plastic Surgery, PLLC?

Executive Plastic Surgery, PLLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).

Where is Executive Plastic Surgery, PLLC located?

Executive Plastic Surgery, PLLC's practice location on file with NPPES is 43940 Woodward Ave Ste 100, Bloomfield Hills, MI 48302-5025.

What is Executive Plastic Surgery, PLLC's phone number?

The practice phone number listed in the NPPES registry for Executive Plastic Surgery, PLLC is (734) 419-1615.

Who is the authorized official for Executive Plastic Surgery, PLLC?

The authorized official listed on Executive Plastic Surgery, PLLC's NPPES record is Shaher Khan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Executive Plastic Surgery, PLLC's NPI active?

Yes — Executive Plastic Surgery, PLLC's NPI (1649675174) is active in the NPPES registry as of the last update on 2024-03-22.

OrganizationActive

Executive Plastic Surgery, PLLC

NPI 1649675174 · Plastic Surgery Physician · Bloomfield Hills, MI

Executive Plastic Surgery, PLLC is a Plastic Surgery Physician organization in Bloomfield Hills, MI (NPI 1649675174).

Provider details

NPI number: 1649675174
Entity type: Organization
Primary specialty: Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Shaher Khan, Ceo(734) 419-1615
License: 4301098160 (MI)

Practice location

43940 Woodward Ave Ste 100

Bloomfield Hills, MI 48302-5025

Phone: (734) 419-1615

Fax: (248) 934-2185

Street-level locationGet directions

More MI providers

Mailing address

43940 Woodward Ave Ste 100

Bloomfield Hills, MI 48302-5025

Specialties & taxonomies

Plastic Surgery PhysicianPrimary208200000XLicense 4301098160 (MI)
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Former legal business name: Crescent Plastic Surgery, PLLC

Profile Score

Detailed profile(75/100 index)

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.

Enumerated: 2014-10-27
Last updated: 2024-03-22
Certified: 2024-03-22

Frequently asked questions

What is Executive Plastic Surgery, PLLC's NPI number?: Executive Plastic Surgery, PLLC's National Provider Identifier (NPI) is 1649675174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Executive Plastic Surgery, PLLC?: Executive Plastic Surgery, PLLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
Where is Executive Plastic Surgery, PLLC located?: Executive Plastic Surgery, PLLC's practice location on file with NPPES is 43940 Woodward Ave Ste 100, Bloomfield Hills, MI 48302-5025.
What is Executive Plastic Surgery, PLLC's phone number?: The practice phone number listed in the NPPES registry for Executive Plastic Surgery, PLLC is (734) 419-1615.
Who is the authorized official for Executive Plastic Surgery, PLLC?: The authorized official listed on Executive Plastic Surgery, PLLC's NPPES record is Shaher Khan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Executive Plastic Surgery, PLLC's NPI active?: Yes — Executive Plastic Surgery, PLLC's NPI (1649675174) is active in the NPPES registry as of the last update on 2024-03-22.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions