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SOUTHERN ARIZONA PLASTIC SURGERY, PLLC
NPI 1306645221
Plastic Surgery in Tucson, AZ

Active since March 12, 2025
1104 N EL DORADO PL, TUCSON, AZ 85715(520) 762-9777(520) 666-3211 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Arizona Plastic Surgery, Pllc NPPES

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

SOUTHERN ARIZONA PLASTIC SURGERY, PLLC (NPI 1306645221) is a healthcare organization registered as a plastic surgery in Tucson, Arizona and active in the NPI registry since March 2025. The organization lists Wyatt Ho, Owner, as its authorized official.

NPPES Registry Identity

NPI1306645221
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameSOUTHERN ARIZONA PLASTIC SURGERY, PLLC
Location Address1104 N EL DORADO PLTucson, AZ 85715-4606
Mailing Address1104 N El Dorado PlTucson, AZ 85715-4606 · (520) 762-9777 · Fax (520) 666-3211
Phone(520) 762-9777
Fax(520) 666-3211
Organization SubpartNo
Authorized OfficialWyatt HoOwner · (520) 762-9777
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1306645221 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.
1104 N EL DORADO PL, Tucson, AZ 85715
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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)

Southern Arizona 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 Southern Arizona Plastic Surgery, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wyatt Ho, MD
Plastic and Reconstructive Surgery
NPI 1023245578
1104 N EL DORADO PL
Tucson, AZ 85715
(520) 762-9777
✔ 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 Southern Arizona Plastic Surgery, PLLC's NPI number?

The NPI number for Southern Arizona Plastic Surgery, PLLC is 1306645221. It was assigned to this organization in the NPPES registry on March 12, 2025.

Where is Southern Arizona Plastic Surgery, PLLC located?

Southern Arizona Plastic Surgery, PLLC is located at 1104 N El Dorado Pl, Tucson, AZ 85715. The listed phone number is (520) 762-9777.

What is Southern Arizona Plastic Surgery, PLLC's specialty?

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

Is Southern Arizona Plastic Surgery, PLLC enrolled in Medicare?

Yes. Southern Arizona Plastic Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Arizona Plastic Surgery, PLLC?

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

When was this NPI record last updated?

The NPPES record for Southern Arizona Plastic Surgery, PLLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.