TUTTLE PLASTIC SURGERY
NPI 1295451680
Plastic Surgery in Mendota Heights, MN

Active since October 17, 2022
954 WAGON WHEEL TRL, MENDOTA HEIGHTS, MN 55120(612) 703-7753 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tuttle Plastic Surgery NPPES

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

TUTTLE PLASTIC SURGERY (NPI 1295451680) is a healthcare organization registered as a plastic surgery in Mendota Heights, Minnesota and active in the NPI registry since October 2022. The organization lists Sue-mi Tuttle, Owner, as its authorized official.

NPPES Registry Identity

NPI1295451680
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameTUTTLE PLASTIC SURGERY
Location Address954 WAGON WHEEL TRLMendota Heights, MN 55120-1316
Mailing Address954 Wagon Wheel TrlMendota Heights, MN 55120-1316 · (612) 703-7753
Organization SubpartNo
Authorized OfficialSue-mi TuttleOwner · (612) 703-7753
Enumeration DateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
✔ NPI 1295451680 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.
954 WAGON WHEEL TRL, Mendota Heights, MN 55120

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)

Tuttle Plastic Surgery 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 Tuttle Plastic Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1447442702
7450 FRANCE AVE S STE 220
Edina, MN 55435
(952) 925-1111
✔ PECOS9.5 mi

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 Tuttle Plastic Surgery's NPI number?

The NPI number for Tuttle Plastic Surgery is 1295451680. It was assigned to this organization in the NPPES registry on October 17, 2022.

Where is Tuttle Plastic Surgery located?

Tuttle Plastic Surgery is located at 954 Wagon Wheel Trl, Mendota Heights, MN 55120. The listed phone number is (612) 703-7753.

What is Tuttle Plastic Surgery's specialty?

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

Is Tuttle Plastic Surgery enrolled in Medicare?

Yes. Tuttle Plastic Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tuttle Plastic Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Tuttle Plastic Surgery. 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 Tuttle Plastic Surgery was last updated on October 17, 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.