BLUEMONT PLASTIC SURGERY, PC
NPI 1023405297
Surgery - Plastic and Reconstructive Surgery in Fairfax, VA
About Bluemont Plastic Surgery, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUEMONT PLASTIC SURGERY, PC (NPI 1023405297) is a healthcare organization registered as a plastic and reconstructive surgery in Fairfax, Virginia and active in the NPI registry since April 2015. The organization lists Mark Christian Domanski, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bluemont Plastic Surgery, Pc 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 Bluemont Plastic Surgery, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Bluemont Plastic Surgery, PC's NPI number?
The NPI number for Bluemont Plastic Surgery, PC is 1023405297. It was assigned to this organization in the NPPES registry on April 24, 2015.
Where is Bluemont Plastic Surgery, PC located?
Bluemont Plastic Surgery, PC is located at 8316 Arlington Blvd Ste 524, Fairfax, VA 22031. The listed phone number is (703) 596-1660.
What is Bluemont Plastic Surgery, PC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Bluemont Plastic Surgery, PC enrolled in Medicare?
Yes. Bluemont Plastic Surgery, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bluemont Plastic Surgery, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Bluemont Plastic Surgery, PC. 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 Bluemont Plastic Surgery, PC was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bluemont Plastic Surgery, Pc · NPI 1023405297
Plastic and Reconstructive Surgery organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since April 24, 2015.
## Identity
- **NPI:** 1023405297 (Entity type: Organization)
- **Enumerated:** April 24, 2015
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Organization subpart:** No
- **Authorized official:** Mark Domanski, PRESIDENT
## Practice location
- **Address:** 8316 ARLINGTON BLVD STE 524, Fairfax, VA 22031-5216
- **Phone:** (703) 596-1660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1023405297) · Data from the CMS NPPES public registry.