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SP PLASTIC SURGERY, LLC
NPI 1114332301
Plastic Surgery in Minnetonka, MN

Active since June 25, 2014
15450 HIGHWAY 7, STE 225, MINNETONKA, MN 55345(763) 999-4170(763) 951-0941 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sp Plastic Surgery, Llc NPPES

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

SP PLASTIC SURGERY, LLC (NPI 1114332301) is a healthcare organization registered as a plastic surgery in Minnetonka, Minnesota and active in the NPI registry since June 2014. The organization lists Stephanie Lee Peng, President, as its authorized official.

NPPES Registry Identity

NPI1114332301
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameSP PLASTIC SURGERY, LLC
Location Address15450 HIGHWAY 7, STE 225Minnetonka, MN 55345-3522
Mailing Address15450 Highway 7, Ste 225Minnetonka, MN 55345-3522 · (763) 999-4170 · Fax (763) 951-0941
Phone(763) 999-4170
Fax(763) 951-0941
Organization SubpartNo
Authorized OfficialStephanie Lee PengPresident · (763) 999-4170
Enumeration DateJune 25, 2014
Last NPPES UpdateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
✔ NPI 1114332301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MN · 57866
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.
15450 HIGHWAY 7, Minnetonka, MN 55345
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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)

Sp Plastic Surgery, Llc 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 Sp Plastic Surgery, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephanie Peng, M.D.
Plastic and Reconstructive Surgery
NPI 1841455383
15450 HIGHWAY 7 STE 225
Minnetonka, MN 55345
(763) 999-4170
✔ PECOS✔ Accepts Medicare1.5 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 Sp Plastic Surgery, LLC's NPI number?

The NPI number for Sp Plastic Surgery, LLC is 1114332301. It was assigned to this organization in the NPPES registry on June 25, 2014.

Where is Sp Plastic Surgery, LLC located?

Sp Plastic Surgery, LLC is located at 15450 Highway 7 Ste 225, Minnetonka, MN 55345. The listed phone number is (763) 999-4170.

What is Sp Plastic Surgery, LLC's specialty?

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

Is Sp Plastic Surgery, LLC enrolled in Medicare?

Yes. Sp Plastic Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sp Plastic Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Sp Plastic Surgery, LLC. 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 Sp Plastic Surgery, LLC was last updated on November 7, 2022. 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.