CROWELL RECONSTRUCTIVE SURGERY PLLC
NPI 1003385709
Plastic Surgery in Reston, VA

Q: What is Crowell Reconstructive Surgery PLLC's NPI number?

The NPI number for Crowell Reconstructive Surgery PLLC is 1003385709. It was assigned to this organization in the NPPES registry on November 26, 2018.

Q: What is Crowell Reconstructive Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since November 26, 2018

1860 TOWN CENTER DR STE 180, RESTON, VA 20190(571) 525-2316(571) 313-0415 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Crowell Reconstructive Surgery Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROWELL RECONSTRUCTIVE SURGERY PLLC (NPI 1003385709) is a healthcare organization registered as a plastic surgery in Reston, Virginia and active in the NPI registry since November 2018. The organization lists Penny Marshall, Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1003385709

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameCROWELL RECONSTRUCTIVE SURGERY PLLC

Location Address1860 TOWN CENTER DR STE 180Reston, VA 20190-5905

Mailing Address1860 Town Center Dr Ste 180Reston, VA 20190-5905 · (571) 525-2316 · Fax (571) 313-0415

Phone(571) 525-2316

Fax(571) 313-0415

Organization SubpartNo

Authorized OfficialPenny MarshallPatient Accounts · (443) 646-5001

Enumeration DateNovember 26, 2018

Last NPPES UpdateApril 30, 2020

NPPES CertifiedApril 30, 2020

✔ NPI 1003385709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1860 TOWN CENTER DR STE 180, Reston, VA 20190

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crowell Reconstructive Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Crowell Reconstructive Surgery PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bruce Freedman, MD

Plastic and Reconstructive Surgery

NPI 1316922503

1800 TOWN CENTER DR STE 413
Reston, VA 20190

(703) 790-5700

✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crowell Reconstructive Surgery PLLC's NPI number?

The NPI number for Crowell Reconstructive Surgery PLLC is 1003385709. It was assigned to this organization in the NPPES registry on November 26, 2018.

Where is Crowell Reconstructive Surgery PLLC located?

Crowell Reconstructive Surgery PLLC is located at 1860 Town Center Dr Ste 180, Reston, VA 20190. The listed phone number is (571) 525-2316.

What is Crowell Reconstructive Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Crowell Reconstructive Surgery PLLC enrolled in Medicare?

Yes. Crowell Reconstructive Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crowell Reconstructive Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Crowell Reconstructive Surgery PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crowell Reconstructive Surgery PLLC was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.