DILWORTH FACIAL PLASTIC SURGERY, PLLC
NPI 1376917633
Otolaryngology - Facial Plastic Surgery in Charlotte, NC

Active since November 23, 2015CLIA 34D2351141 · Waiver
1819 LYNDHURST AVE, CHARLOTTE, NC 28203(980) 949-6544(980) 422-0091 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 10, 2017, Sep 27, 2016, Nov 23, 2015 (3 updates tracked since 2015).

About Dilworth Facial Plastic Surgery, Pllc NPPES

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

DILWORTH FACIAL PLASTIC SURGERY, PLLC (NPI 1376917633) is a healthcare organization registered as a facial plastic surgery in Charlotte, North Carolina and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through September 21, 2028 and lists Joshua B Surowitz, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1376917633
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameDILWORTH FACIAL PLASTIC SURGERY, PLLC
Location Address1819 LYNDHURST AVECharlotte, NC 28203-5103
Mailing Address1819 Lyndhurst AveCharlotte, NC 28203-5103 · (980) 949-6544 · Fax (980) 422-0091
Fax(980) 422-0091
Organization SubpartNo
Authorized OfficialJoshua B SurowitzCo-owner · (919) 619-0383
Enumeration DateNovember 23, 2015
Last NPPES UpdateApril 10, 20173 updates tracked since enumeration
✔ NPI 1376917633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in NC · 2013-00940
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 2013-00940 (NC)
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 2013-00940 (NC)
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 2013-00940 (NC)
1819 LYNDHURST AVE, Charlotte, NC 28203

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dilworth Facial Plastic Surgery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dilworth Facial Plastic Surgery, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1376216689
1819 LYNDHURST AVE
Charlotte, NC 28203
(984) 974-4200
✔ PECOSSame address
Otolaryngology
NPI 1700080678
1819 LYNDHURST AVE
Charlotte, NC 28203
(980) 949-6544
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1215120357
1819 LYNDHURST AVE
Charlotte, NC 28203
(980) 949-6544
✔ 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.

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 34D2351141

Dilworth Facial Plastic Surgery · Charlotte, NC
Active · expires Sep 21, 2028
CLIA Number34D2351141
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2026
Certificate Expiration DateSeptember 21, 2028
Laboratory DirectorJoshua B. Surowitz
Laboratory Phone(980) 949-6544
Laboratory LocationDilworth Facial Plastic Surgery1819 Lyndhurst Avenue, Charlotte, NC 28203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dilworth Facial Plastic Surgery, PLLC's NPI number?

The NPI number for Dilworth Facial Plastic Surgery, PLLC is 1376917633. It was assigned to this organization in the NPPES registry on November 23, 2015.

Where is Dilworth Facial Plastic Surgery, PLLC located?

Dilworth Facial Plastic Surgery, PLLC is located at 1819 Lyndhurst Ave, Charlotte, NC 28203. The listed phone number is (980) 949-6544.

What is Dilworth Facial Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Dilworth Facial Plastic Surgery, PLLC enrolled in Medicare?

Yes. Dilworth Facial Plastic Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dilworth Facial Plastic Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dilworth Facial Plastic Surgery, PLLC, in Nurse Practitioner and Otolaryngology. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dilworth Facial Plastic Surgery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2351141) is associated with this NPI, valid through September 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dilworth Facial Plastic Surgery, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Dilworth Facial Plastic Surgery, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dilworth Facial Plastic Surgery, PLLC was last updated on April 10, 2017. 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.