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PLASTIC, RECONSTRUCTIVE & MICROSURGICAL ASSOCIATES OF SOUTH TEXAS PLLC
NPI 1063405504
Surgery - Plastic and Reconstructive Surgery in San Antonio, TX

Active since August 30, 2005CLIA Certified · 2 labs
9635 HUEBNER RD, SAN ANTONIO, TX 78240(210) 692-1181(210) 692-7584 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Plastic, Reconstructive & Microsurgical Associates Of South Texas Pllc NPPES

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

PLASTIC, RECONSTRUCTIVE & MICROSURGICAL ASSOCIATES OF SOUTH TEXAS PLLC (NPI 1063405504) is a healthcare organization registered as a plastic and reconstructive surgery in San Antonio, Texas and active in the NPI registry since August 2005. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in San Antonio, and lists Peter Robert Ledoux, President, as its authorized official.

NPPES Registry Identity

NPI1063405504
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePLASTIC, RECONSTRUCTIVE & MICROSURGICAL ASSOCIATES OF SOUTH TEXAS PLLC
Location Address9635 HUEBNER RDSan Antonio, TX 78240-1512
Mailing Address9635 Huebner RdSan Antonio, TX 78240-1512 · (210) 692-1181 · Fax (210) 692-7584
Phone(210) 692-1181
Fax(210) 692-7584
Organization SubpartNo
Authorized OfficialPeter Robert LedouxPresident · (210) 692-1181
Enumeration DateAugust 30, 2005
Last NPPES UpdateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
✔ NPI 1063405504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
9635 HUEBNER RD, San Antonio, TX 78240
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Secondary Practice Location 1

Location 1502 Madison Oak Dr Ste 220San Antonio, TX 78258-4192 · Phone (210) 692-1181

Other Identifiers 1

Medicaid084224701TX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plastic, Reconstructive & Microsurgical Associates Of South Texas Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Plastic and Reconstructive Surgery26
General Surgery1
Nurse Practitioner1

Nearest to this location (20)

See all 28
Gary Arishita, M.D.
Plastic and Reconstructive Surgery
NPI 1235119322
9635 HUEBNER RD
San Antonio, TX 78240
(210) 692-1181
✔ PECOS✔ Accepts MedicareSame address
Minas Chrysopoulo, M.D.
Plastic and Reconstructive Surgery
NPI 1396781340
9635 HUEBNER RD
San Antonio, TX 78240
(210) 692-1181
✔ PECOSSame address
Andrew Gassman, MD
Plastic and Reconstructive Surgery
NPI 1932363157
9635 HUEBNER RD
San Antonio, TX 78240
(210) 692-1181
✔ PECOS✔ Accepts MedicareSame address
Peter Ledoux, MD
Plastic and Reconstructive Surgery
NPI 1639171770
9635 HUEBNER RD
San Antonio, TX 78240
(210) 692-1181
✔ PECOS✔ Accepts MedicareSame address
Chet Nastala, MD
Plastic and Reconstructive Surgery
NPI 1740281187
9635 HUEBNER RD
San Antonio, TX 78240
(210) 692-1181
✔ PECOS✔ Accepts MedicareSame address
Oscar Ochoa, MD
General Surgery
NPI 1871778928
9635 HUEBNER ROAD
San Antonio, TX 78240
(210) 692-1181
✔ PECOS✔ Accepts MedicareSame address
Steven Pisano, MD
Plastic and Reconstructive Surgery
NPI 1528069655
9635 HUEBNER RD
San Antonio, TX 78240
(210) 692-1181
✔ PECOS✔ Accepts MedicareSame address
Rebecca Rokosky, FNP
Nurse Practitioner
NPI 1639183932
9635 HUEBNER RD
San Antonio, TX 78240
(210) 692-1181
✔ PECOS✔ Accepts MedicareSame address
Lauren Whipple, M.D
Plastic and Reconstructive Surgery
NPI 1841686243
9635 HUEBNER RD
San Antonio, TX 78240
(210) 692-1181
✔ PECOS✔ Accepts MedicareSame address
Charles Fries, MD
Plastic and Reconstructive Surgery
NPI 1801491311
8300 FLOYD CURL DR
San Antonio, TX 78229
(210) 450-9000
✔ PECOS✔ Accepts Medicare1.4 mi
Virginia Bailey, M.D.
Plastic and Reconstructive Surgery
NPI 1538513387
300 BEARDSLEY LN STE C101
Austin, TX 78746
(512) 222-9356
✔ PECOS✔ Accepts Medicare70 mi
Sabino Lara, MD
Plastic and Reconstructive Surgery
NPI 1407380546
601 E 15TH ST CL300
Austin, TX 78701
(512) 324-7000
✔ PECOS72 mi
Claude-Jean Langevin, MD, DMD
Plastic and Reconstructive Surgery
NPI 1730373580
1600 W 38TH ST STE 206
Austin, TX 78731
(512) 600-2888
✔ PECOS✔ Accepts Medicare74 mi
Rachel Anolik, MD
Plastic and Reconstructive Surgery
NPI 1871836965
9230 KATY FWY STE 425
Houston, TX 77055
(713) 791-0700
✔ PECOS✔ Accepts Medicare186 mi
Sean Boutros, MD
Plastic and Reconstructive Surgery
NPI 1154319598
9230 KATY FWY STE 600
Houston, TX 77055
(713) 791-0700
✔ PECOS✔ Accepts Medicare186 mi
Cassie Hartline, M.D.
Plastic and Reconstructive Surgery
NPI 1316333966
9230 KATY FWY STE 600
Houston, TX 77055
(713) 791-0700
✔ PECOS✔ Accepts Medicare186 mi
Ryan Couvillion, M.D.
Plastic and Reconstructive Surgery
NPI 1760706774
1900 SAINT JAMES PL STE 600
Houston, TX 77056
(713) 850-0240
✔ PECOS✔ Accepts Medicare188 mi
Edwin Acevedo, MD, MHA
Plastic and Reconstructive Surgery
NPI 1609254358
6410 FANNIN ST STE 1400
Houston, TX 77030
(832) 325-7181
✔ PECOS✔ Accepts Medicare193 mi
Nishant Bhatt, M.D.
Plastic and Reconstructive Surgery
NPI 1699972265
4510 MEDICAL CENTER DR STE 202
Mckinney, TX 75069
(315) 794-0362
✔ PECOS✔ Accepts Medicare275 mi
Mary Wright, MD
Plastic and Reconstructive Surgery
NPI 1134291503
4510 MEDICAL CENTER DR STE 202
Mckinney, TX 75069
(907) 276-2803
✔ PECOS✔ Accepts Medicare275 mi
See all 28 clinicians

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2056051

Plastic Reconstructive & Microsurgical Associates South Texas PLLC · San Antonio, TX
Active · expires Mar 20, 2027
CLIA Number45D2056051
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorPeter R. Ledoux
Laboratory Phone(210) 692-1181
Laboratory LocationPlastic Reconstructive & Microsurgical Associates South Texas PLLC9635 Huebner Road, San Antonio, TX 78240
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2073732

Plastic Reconstructive & Microsurgical Associates Of South Texas PLLC · San Antonio, TX
Active · expires Feb 23, 2028
CLIA Number45D2073732
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorPeter R. Ledoux
Laboratory Phone(210) 692-1181
Laboratory LocationPlastic Reconstructive & Microsurgical Associates Of South Texas PLLC540 Madison Oak Drive Suite 600, San Antonio, TX 78258
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC's NPI number?

The NPI number for Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC is 1063405504. It was assigned to this organization in the NPPES registry on August 30, 2005.

Where is Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC located?

Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC is located at 9635 Huebner Rd, San Antonio, TX 78240. The listed phone number is (210) 692-1181.

What is Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC enrolled in Medicare?

Yes. Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 3 Medicare specialties reassign their Medicare billing to Plastic, Reconstructive & Microsurgical Associates Of South Texas 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. The largest specialties are Plastic and Reconstructive Surgery (26), General Surgery (1) and Nurse Practitioner (1). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC accept?

Health plans from WellPoint list Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Plastic, Reconstructive & Microsurgical Associates Of South Texas PLLC was last updated on February 22, 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.