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DR. SUSAN K BUENAVENTURA MD
NPI 1336111491
Surgery - Plastic and Reconstructive Surgery in Alexandria, VA

Active since February 03, 2006PECOS Enrolled
5425 DUKE STREET, ALEXANDRIA, VA 22304(703) 751-0800(703) 751-4378 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Susan K Buenaventura Md NPPES

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

DR. SUSAN K BUENAVENTURA MD (NPI 1336111491) is an individual plastic and reconstructive surgery provider in Alexandria, Virginia, licensed in Virginia (0101051213) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (1988).

NPPES Registry Identity

NPI1336111491
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameDR. SUSAN K BUENAVENTURACredential: MD
Location Address5425 DUKE STREETAlexandria, VA 22304
Mailing Address5425 Duke StreetAlexandria, VA 22304 · (703) 751-0800 · Fax (703) 751-4378
Phone(703) 751-0800
Fax(703) 751-4378
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1988
Enumeration DateFebruary 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336111491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in VA · 0101051213✔ Licensed in NC · 9400735
Definition
A surgeon who specializes in plastic and reconstructive surgery.
5425 DUKE STREET, Alexandria, VA 22304
Open in Google Maps ↗

Other Identifiers 4

Other184854VA · Anthem
Medicare UPINF99513
Medicare ID-Type UnspecifiedG02274T01VA
Other4819Bc Bs Nca

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan K Buenaventura Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496762908
PECOS Enrollment IDI20060308000455
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Susan Buenaventura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Sendi Cosmetic Surgery Center, Inc.
Same address
Ambulatory Surgical
5425 DUKE ST
Alexandria, VA 22304
  • Reassigned Medicare billing, District of Columbia enrollment
NPI 1174679641 (703) 751-0800

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 Susan Buenaventura's NPI number?

The NPI number for Susan Buenaventura is 1336111491. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Susan Buenaventura located?

Susan Buenaventura practices at 5425 Duke Street, Alexandria, VA 22304. The listed phone number is (703) 751-0800.

What is Susan Buenaventura's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Susan Buenaventura enrolled in Medicare?

Yes. Susan Buenaventura is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Buenaventura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Buenaventura reassigns Medicare benefits to The Sendi Cosmetic Surgery Center, Inc. (Alexandria, VA). The 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 Susan Buenaventura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Buenaventura was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.