QUEEN CITY PLASTIC SURGERY PLLC
NPI 1225437643
Plastic Surgery in Charlotte, NC

Active since August 21, 2014
3025 SPRINGBANK LN, SUITE 240, CHARLOTTE, NC 28226(704) 372-5685(704) 372-5686 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Queen City Plastic Surgery Pllc NPPES

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

QUEEN CITY PLASTIC SURGERY PLLC (NPI 1225437643) is a healthcare organization registered as a plastic surgery in Charlotte, North Carolina and active in the NPI registry since August 2014. The organization lists Enamual Haque, Owner, as its authorized official.

NPPES Registry Identity

NPI1225437643
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameQUEEN CITY PLASTIC SURGERY PLLC
Location Address3025 SPRINGBANK LN, SUITE 240Charlotte, NC 28226-3362
Mailing Address3025 Springbank Ln, Suite 240Charlotte, NC 28226-3362 · (704) 372-5685 · Fax (704) 372-5686
Fax(704) 372-5686
Organization SubpartNo
Authorized OfficialEnamual HaqueOwner · (704) 372-5685
Enumeration DateAugust 21, 2014
Last NPPES UpdateMarch 20, 2017
✔ NPI 1225437643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NC · 200901161
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.
3025 SPRINGBANK LN, Charlotte, NC 28226

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Queen City 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 Queen City Plastic Surgery PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1144351693
3025 SPRINGBANK LN STE #240
Charlotte, NC 28226
(704) 372-5685
✔ 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 Queen City Plastic Surgery PLLC's NPI number?

The NPI number for Queen City Plastic Surgery PLLC is 1225437643. It was assigned to this organization in the NPPES registry on August 21, 2014.

Where is Queen City Plastic Surgery PLLC located?

Queen City Plastic Surgery PLLC is located at 3025 Springbank Ln Suite 240, Charlotte, NC 28226. The listed phone number is (704) 372-5685.

What is Queen City Plastic Surgery PLLC's specialty?

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

Is Queen City Plastic Surgery PLLC enrolled in Medicare?

Yes. Queen City Plastic Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Queen City Plastic Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Queen City 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.

What insurance does Queen City Plastic Surgery PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Queen City Plastic Surgery 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 Queen City Plastic Surgery PLLC was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.