Fustok Cosmetic and Reconstructive Surgery PA
NPI 1720569817 · Plastic and Reconstructive Surgery Physician · Houston, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fustok Cosmetic and Reconstructive Surgery PA is a Plastic and Reconstructive Surgery Physician organization in Houston, TX (NPI 1720569817).
Provider details
- NPI number
- 1720569817
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jenni Diaz, Medical Billing Manager(713) 621-2950
- License
- F4727 (TX)
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
- 2018-08-27
- Last updated
- 2024-12-06
- Certified
- 2024-12-06
Frequently asked questions
- What is Fustok Cosmetic and Reconstructive Surgery PA's NPI number?
- Fustok Cosmetic and Reconstructive Surgery PA's National Provider Identifier (NPI) is 1720569817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fustok Cosmetic and Reconstructive Surgery PA?
- Fustok Cosmetic and Reconstructive Surgery PA is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Fustok Cosmetic and Reconstructive Surgery PA located?
- Fustok Cosmetic and Reconstructive Surgery PA's practice location on file with NPPES is 333 West Loop N Ste 410, Houston, TX 77024-7709.
- What is Fustok Cosmetic and Reconstructive Surgery PA's phone number?
- The practice phone number listed in the NPPES registry for Fustok Cosmetic and Reconstructive Surgery PA is (713) 621-2950.
- Does Fustok Cosmetic and Reconstructive Surgery PA accept Medicare?
- Fustok Cosmetic and Reconstructive Surgery PA 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 Fustok Cosmetic and Reconstructive Surgery PA?
- The authorized official listed on Fustok Cosmetic and Reconstructive Surgery PA's NPPES record is Jenni Diaz, Medical Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fustok Cosmetic and Reconstructive Surgery PA's NPI active?
- Yes — Fustok Cosmetic and Reconstructive Surgery PA's NPI (1720569817) is active in the NPPES registry as of the last update on 2024-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.