PLASTIC SURGERY INNOVATIONS, P.C.
NPI 1275624686
Plastic Surgery in Fort Wayne, IN
About Plastic Surgery Innovations, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLASTIC SURGERY INNOVATIONS, P.C. (NPI 1275624686) is a healthcare organization registered as a plastic surgery in Fort Wayne, Indiana and active in the NPI registry since September 2006. The organization lists Joseph M. Mlakar, President/owner/physician, 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)
Plastic Surgery Innovations, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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 Plastic Surgery Innovations, P.C., 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 Plastic Surgery Innovations, P.C.'s NPI number?
The NPI number for Plastic Surgery Innovations, P.C. is 1275624686. It was assigned to this organization in the NPPES registry on September 28, 2006.
Where is Plastic Surgery Innovations, P.C. located?
Plastic Surgery Innovations, P.C. is located at 9933 Dupont Circle Dr W Ste 120, Fort Wayne, IN 46825. The listed phone number is (260) 490-4673.
What is Plastic Surgery Innovations, P.C.'s specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Plastic Surgery Innovations, P.C. enrolled in Medicare?
Yes. Plastic Surgery Innovations, P.C. is registered in the Medicare PECOS enrollment system.
When is Plastic Surgery Innovations, P.C.'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 (Indiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Plastic Surgery Innovations, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Plastic Surgery Innovations, P.C.. 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 Plastic Surgery Innovations, P.C. was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Plastic Surgery Innovations, P.c. · NPI 1275624686
Plastic Surgery organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1275624686 (Entity type: Organization)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **Organization subpart:** No
- **Authorized official:** Joseph Mlakar, PRESIDENT/OWNER/PHYSICIAN
## Practice location
- **Address:** 9933 DUPONT CIRCLE DR W STE 120, Fort Wayne, IN 46825-1629
- **Phone:** (260) 490-4673 · **Fax:** (260) 490-2165
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Indiana, 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:** January 4, 2022
- **Other identifiers:** Medicaid 2723806 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1275624686) · Data from the CMS NPPES public registry.