SPECIALTY WOUND HEALING AND RECONSTRUCTION INC
NPI 1063109668
Plastic Surgery in Pasadena, CA

Q: What is Specialty Wound Healing And Reconstruction Inc's specialty?

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

Active since April 24, 2023

50 BELLEFONTAINE ST STE 304, PASADENA, CA 91105(626) 325-8246 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Specialty Wound Healing And Reconstruction Inc NPPES

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

SPECIALTY WOUND HEALING AND RECONSTRUCTION INC (NPI 1063109668) is a healthcare organization registered as a plastic surgery in Pasadena, California and active in the NPI registry since April 2023. The organization lists Sanjeev Puri, President, as its authorized official.

NPPES Registry Identity

NPI1063109668

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameSPECIALTY WOUND HEALING AND RECONSTRUCTION INC

Location Address50 BELLEFONTAINE ST STE 304Pasadena, CA 91105-3132

Mailing Address50 Bellefontaine St Ste 304Pasadena, CA 91105-3132

Phone(626) 325-8246

Organization SubpartNo

Authorized OfficialSanjeev PuriPresident · (626) 325-8246

Enumeration DateApril 24, 2023

Last NPPES UpdateMarch 21, 2025

NPPES CertifiedMarch 21, 2025

✔ NPI 1063109668 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.

50 BELLEFONTAINE ST STE 304, Pasadena, CA 91105

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Specialty Wound Healing And Reconstruction Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Specialty Wound Healing And Reconstruction Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Sanjeev Puri, MD

Plastic and Reconstructive Surgery

NPI 1720304447

50 BELLEFONTAINE ST STE 304
Pasadena, CA 91105

(626) 788-9152

✔ PECOS✔ Accepts MedicareSame address

Oradee Aueyong, FNP

Nurse Practitioner

NPI 1154949451

4065 WHITTIER BLVD
Los Angeles, CA 90023

(323) 968-1170

✔ PECOS✔ Accepts Medicare7.6 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 Specialty Wound Healing And Reconstruction Inc's NPI number?

The NPI number for Specialty Wound Healing And Reconstruction Inc is 1063109668. It was assigned to this organization in the NPPES registry on April 24, 2023.

Where is Specialty Wound Healing And Reconstruction Inc located?

Specialty Wound Healing And Reconstruction Inc is located at 50 Bellefontaine St Ste 304, Pasadena, CA 91105. The listed phone number is (626) 325-8246.

What is Specialty Wound Healing And Reconstruction Inc's specialty?

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

Is Specialty Wound Healing And Reconstruction Inc enrolled in Medicare?

Yes. Specialty Wound Healing And Reconstruction Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialty Wound Healing And Reconstruction Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Specialty Wound Healing And Reconstruction Inc, in Nurse Practitioner and Plastic and Reconstructive Surgery. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Specialty Wound Healing And Reconstruction Inc was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.