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CAPITAL AREA PLASTIC SURGERY, PLLC
NPI 1124327341
Specialist in Saratoga Springs, NY

Active since March 28, 2011CLIA 33D2285490 · Waiver
377 CHURCH ST, SARATOGA SPRINGS, NY 12866(518) 203-2593 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Capital Area Plastic Surgery, Pllc NPPES

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

CAPITAL AREA PLASTIC SURGERY, PLLC (NPI 1124327341) is a healthcare organization registered as a specialist in Saratoga Springs, New York and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Diane Kritz, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124327341
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCAPITAL AREA PLASTIC SURGERY, PLLC
Location Address377 CHURCH STSaratoga Springs, NY 12866-8641
Mailing Address377 Church StSaratoga Springs, NY 12866-8641 · (518) 203-2593
Phone(518) 203-2593
Organization SubpartNo
Authorized OfficialDiane KritzOffice Manager · (518) 203-2593
Enumeration DateMarch 28, 2011
Last NPPES UpdateApril 4, 2011
✔ NPI 1124327341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 256948
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
377 CHURCH ST, Saratoga Springs, NY 12866
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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)

Capital Area Plastic 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 Capital Area Plastic Surgery, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dimitri Koumanis, M.D.
Physical Medicine and Rehabilitation
NPI 1003992926
13 CHESTER STREET
Glens Falls, NY 12801
(518) 203-2593
✔ PECOS✔ Accepts Medicare18 mi

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

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 33D2285490

Capital Area Plastic Surgery PLLC · Glens Falls, NY
Active · expires Jul 12, 2027
CLIA Number33D2285490
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorDr. Dimitrios Koumanis
Laboratory Phone(518) 203-2593
Laboratory LocationCapital Area Plastic Surgery PLLC13 Chester Street, Glens Falls, NY 12801
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 Capital Area Plastic Surgery, PLLC's NPI number?

The NPI number for Capital Area Plastic Surgery, PLLC is 1124327341. It was assigned to this organization in the NPPES registry on March 28, 2011.

Where is Capital Area Plastic Surgery, PLLC located?

Capital Area Plastic Surgery, PLLC is located at 377 Church St, Saratoga Springs, NY 12866. The listed phone number is (518) 203-2593.

What is Capital Area Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Capital Area Plastic Surgery, PLLC enrolled in Medicare?

Yes. Capital Area Plastic Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Capital Area Plastic Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Capital Area Plastic 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.

Does Capital Area Plastic Surgery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2285490) is associated with this NPI, valid through July 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Capital Area Plastic Surgery, PLLC was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.