MIDDLESEX PLASTIC SURGERY CENTER,LLC
NPI 1174801898
Plastic Surgery in Middletown, CT
About Middlesex Plastic Surgery Center,llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDDLESEX PLASTIC SURGERY CENTER,LLC (NPI 1174801898) is a healthcare organization registered as a plastic surgery in Middletown, Connecticut and active in the NPI registry since July 2011. The organization lists Mari Rebane-mazzotta, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Middlesex Plastic Surgery Center,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Middlesex Plastic Surgery Center,llc, 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 Middlesex Plastic Surgery Center,llc's NPI number?
The NPI number for Middlesex Plastic Surgery Center,llc is 1174801898. It was assigned to this organization in the NPPES registry on July 29, 2011.
Where is Middlesex Plastic Surgery Center,llc located?
Middlesex Plastic Surgery Center,llc is located at 535 Saybrook Rd, Middletown, CT 06457. The listed phone number is (860) 343-0122.
What is Middlesex Plastic Surgery Center,llc's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Middlesex Plastic Surgery Center,llc enrolled in Medicare?
Yes. Middlesex Plastic Surgery Center,llc is registered in the Medicare PECOS enrollment system.
When is Middlesex Plastic Surgery Center,llc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Middlesex Plastic Surgery Center,llc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Middlesex Plastic Surgery Center,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 Middlesex Plastic Surgery Center,llc was last updated on July 29, 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.
# Middlesex Plastic Surgery Center,llc · NPI 1174801898
Plastic Surgery organization in Middletown, Connecticut. Organization record, active in the CMS NPPES registry since July 29, 2011.
## Identity
- **NPI:** 1174801898 (Entity type: Organization)
- **Enumerated:** July 29, 2011
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **Organization subpart:** No
- **Authorized official:** Mari Rebane-Mazzotta, PHYSICIAN/OWNER
## Practice location
- **Address:** 535 SAYBROOK RD, Middletown, CT 06457-4743
- **Phone:** (860) 343-0122 · **Fax:** (860) 347-2212
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Connecticut, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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 29, 2011
- **Other identifiers:** Other 049437 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1174801898) · Data from the CMS NPPES public registry.