DELLA FORMA SURGICAL LLC
NPI 1184560567
Plastic Surgery in Venice, FL

Q: What is Della Forma Surgical LLC's NPI number?

The NPI number for Della Forma Surgical LLC is 1184560567. It was assigned to this organization in the NPPES registry on April 27, 2026.

Q: What is Della Forma Surgical LLC's specialty?

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

Active since April 27, 2026

213 PALERMO PL, VENICE, FL 34285(941) 485-7783(941) 484-9188 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 4, 2026, Apr 27, 2026 (2 updates tracked since 2026).

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About Della Forma Surgical Llc NPPES

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

DELLA FORMA SURGICAL LLC (NPI 1184560567) is a healthcare organization registered as a plastic surgery in Venice, Florida and active in the NPI registry since April 2026. The organization lists Carissa L Patete, Owner, as its authorized official.

NPPES Registry Identity

NPI1184560567

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameDELLA FORMA SURGICAL LLC

Location Address213 PALERMO PLVenice, FL 34285-2821

Mailing Address213 Palermo PlVenice, FL 34285-2821 · (941) 485-7783 · Fax (941) 484-9188

Phone(941) 485-7783

Fax(941) 484-9188

Organization SubpartYes

Authorized OfficialCarissa L PateteOwner · (941) 587-7783

Enumeration DateApril 27, 2026

Last NPPES UpdateMay 4, 20262 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1184560567 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.

213 PALERMO PL, Venice, FL 34285

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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)

Della Forma Surgical 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 Della Forma Surgical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carissa Patete, MD

Plastic and Reconstructive Surgery

NPI 1932738911

213 PALERMO PL
Venice, FL 34285

(941) 485-7783

✔ PECOS✔ Accepts MedicareSame address

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 Della Forma Surgical LLC's NPI number?

The NPI number for Della Forma Surgical LLC is 1184560567. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is Della Forma Surgical LLC located?

Della Forma Surgical LLC is located at 213 Palermo Pl, Venice, FL 34285. The listed phone number is (941) 485-7783.

What is Della Forma Surgical LLC's specialty?

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

Is Della Forma Surgical LLC enrolled in Medicare?

Yes. Della Forma Surgical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Della Forma Surgical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Della Forma Surgical 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 Della Forma Surgical LLC was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.