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VISAGE FACIAL PLASTIC SURGERY SC
NPI 1326462540
Otolaryngology - Plastic Surgery within the Head & Neck in Brookfield, WI

Active since February 07, 2014CLIA 52D2336082 · Waiver
19275 W CAPITOL DR, SUITE 205, BROOKFIELD, WI 53045(262) 701-7040 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Visage Facial Plastic Surgery Sc NPPES

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

VISAGE FACIAL PLASTIC SURGERY SC (NPI 1326462540) is a healthcare organization registered as a plastic surgery within the head & neck in Brookfield, Wisconsin and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Anand D Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1326462540
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameVISAGE FACIAL PLASTIC SURGERY SC
Location Address19275 W CAPITOL DR, SUITE 205Brookfield, WI 53045-2742
Mailing Address19275 W Capitol Dr, Suite 205Brookfield, WI 53045-2742 · (262) 701-7040
Phone(262) 701-7040
Organization SubpartNo
Authorized OfficialAnand D PatelOwner · (323) 839-8022
Enumeration DateFebruary 7, 2014
Last NPPES UpdateNovember 9, 2016
✔ NPI 1326462540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
19275 W CAPITOL DR, Brookfield, WI 53045
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Other Identifiers 2

Medicare PINK400139036WI
Medicare PINK100139006WI

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2336082

Visage Facial Plastic Surgery, Sc · Waukesha, WI
Active · expires Dec 22, 2027
CLIA Number52D2336082
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Anand Patel
Laboratory Phone(262) 701-7040
Laboratory LocationVisage Facial Plastic Surgery, ScN14w23800 Stone Ridge Drive, Ste 320, Waukesha, WI 53188
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL T BUTTERFIELD MS, ATRL-BC LLC
Counselor (Professional)
19275 W CAPITOL DR, SUITE 200
BROOKFIELD, WI 53045
Waukesha County (262) 224-1422
MIDWEST SURGICAL PROFESSIONALS LLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
19275 W CAPITOL DR, SUITE 205
BROOKFIELD, WI 53045
Waukesha County (262) 701-7040
ANAND D PATEL M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
19275 W CAPITOL DR, SUITE 205
BROOKFIELD, WI 53045
Waukesha County (262) 701-7040

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 Visage Facial Plastic Surgery Sc's NPI number?

The NPI number for Visage Facial Plastic Surgery Sc is 1326462540. It was assigned to this organization in the NPPES registry on February 7, 2014.

Where is Visage Facial Plastic Surgery Sc located?

Visage Facial Plastic Surgery Sc is located at 19275 W Capitol Dr Suite 205, Brookfield, WI 53045. The listed phone number is (262) 701-7040.

What is Visage Facial Plastic Surgery Sc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Does Visage Facial Plastic Surgery Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2336082) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Visage Facial Plastic Surgery Sc was last updated on November 9, 2016. 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.