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: July 26, 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
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

Other Identifiers 4

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

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