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AMG PLASTIC SURGERY LLC
NPI 1366195257
Plastic Surgery in Herndon, VA

Active since January 31, 2022
13454 SUNRISE VALLEY DR STE 130, HERNDON, VA 20171(703) 239-3190(571) 621-7593 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amg Plastic Surgery Llc NPPES

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

AMG PLASTIC SURGERY LLC (NPI 1366195257) is a healthcare organization registered as a plastic surgery in Herndon, Virginia and active in the NPI registry since January 2022. The organization lists Amir M Ghaznavi, Owner, as its authorized official.

NPPES Registry Identity

NPI1366195257
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameAMG PLASTIC SURGERY LLC
Location Address13454 SUNRISE VALLEY DR STE 130Herndon, VA 20171-3278
Mailing Address13454 Sunrise Valley Dr Ste 130Herndon, VA 20171-3278 · (703) 239-3190
Phone(703) 239-3190
Fax(571) 621-7593
Organization SubpartNo
Authorized OfficialAmir M GhaznaviOwner · (703) 239-3190
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1366195257 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.
13454 SUNRISE VALLEY DR STE 130, Herndon, VA 20171
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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)

Amg Plastic Surgery Llc 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 Amg Plastic Surgery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amir Ghaznavi, MD
Plastic and Reconstructive Surgery
NPI 1508021445
13454 SUNRISE VALLEY DR STE 130
Herndon, VA 20171
(703) 239-3190
✔ 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 Amg Plastic Surgery LLC's NPI number?

The NPI number for Amg Plastic Surgery LLC is 1366195257. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Amg Plastic Surgery LLC located?

Amg Plastic Surgery LLC is located at 13454 Sunrise Valley Dr Ste 130, Herndon, VA 20171. The listed phone number is (703) 239-3190.

What is Amg Plastic Surgery LLC's specialty?

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

Is Amg Plastic Surgery LLC enrolled in Medicare?

Yes. Amg Plastic Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amg Plastic Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Amg Plastic Surgery LLC. 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 Amg Plastic Surgery LLC was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.