ISSA F BAROUDI MD PA
NPI 1336426295
Plastic Surgery in Port Charlotte, FL

Q: What is Issa F Baroudi MD PA's NPI number?

The NPI number for Issa F Baroudi MD PA is 1336426295. It was assigned to this organization in the NPPES registry on November 7, 2011.

Q: What is Issa F Baroudi MD PA's specialty?

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

Active since November 07, 2011

3222 TAMIAMI TRL, PORT CHARLOTTE, FL 33952(941) 627-5155(941) 629-5317 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Issa F Baroudi Md Pa NPPES

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

ISSA F BAROUDI MD PA (NPI 1336426295) is a healthcare organization registered as a plastic surgery in Port Charlotte, Florida and active in the NPI registry since November 2011. The organization lists Issa F Baroudi, President, as its authorized official.

NPPES Registry Identity

NPI1336426295

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameISSA F BAROUDI MD PA

Location Address3222 TAMIAMI TRLPort Charlotte, FL 33952-8048

Mailing Address3222 Tamiami TrlPort Charlotte, FL 33952-8048 · (941) 627-5155 · Fax (941) 629-5317

Phone(941) 627-5155

Fax(941) 629-5317

Organization SubpartNo

Authorized OfficialIssa F BaroudiPresident · (941) 627-5155

Enumeration DateNovember 7, 2011

Last NPPES UpdateApril 29, 2013

✔ NPI 1336426295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in FL · ME38318

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.

3222 TAMIAMI TRL, Port Charlotte, FL 33952

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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 MULTIPLE 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)

Issa F Baroudi Md Pa 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 Issa F Baroudi MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Issa Baroudi, M.D.

Plastic and Reconstructive Surgery

NPI 1558303966

3222 TAMIAMI TRL
Port Charlotte, FL 33952

(941) 627-5155

✔ 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 Issa F Baroudi MD PA's NPI number?

The NPI number for Issa F Baroudi MD PA is 1336426295. It was assigned to this organization in the NPPES registry on November 7, 2011.

Where is Issa F Baroudi MD PA located?

Issa F Baroudi MD PA is located at 3222 Tamiami Trl, Port Charlotte, FL 33952. The listed phone number is (941) 627-5155.

What is Issa F Baroudi MD PA's specialty?

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

Is Issa F Baroudi MD PA enrolled in Medicare?

Yes. Issa F Baroudi MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Issa F Baroudi MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Issa F Baroudi MD PA. 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 Issa F Baroudi MD PA was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.