MANSFIELD PLASTIC SURGERY, LLC
NPI 1417191636
Clinic/Center - Medical Specialty in Mansfield, OH

Q: What is Mansfield Plastic Surgery, LLC's NPI number?

The NPI number for Mansfield Plastic Surgery, LLC is 1417191636. It was assigned to this organization in the NPPES registry on May 1, 2009.

Q: What is Mansfield Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since May 01, 2009

370 CLINE AVE, MANSFIELD, OH 44907(419) 756-1125(419) 756-1825 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mansfield Plastic Surgery, Llc NPPES

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

MANSFIELD PLASTIC SURGERY, LLC (NPI 1417191636) is a healthcare organization registered as a medical specialty in Mansfield, Ohio and active in the NPI registry since May 2009. The organization lists Rafael E. Villalobos, Owner, as its authorized official.

NPPES Registry Identity

NPI1417191636

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameMANSFIELD PLASTIC SURGERY, LLC

Location Address370 CLINE AVEMansfield, OH 44907-1057

Mailing Address370 Cline AveMansfield, OH 44907-1057 · (419) 756-1125 · Fax (419) 756-1825

Phone(419) 756-1125

Fax(419) 756-1825

Organization SubpartNo

Authorized OfficialRafael E. VillalobosOwner · (419) 756-1125

Enumeration DateMay 1, 2009

✔ NPI 1417191636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in OH · 34005536

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

370 CLINE AVE, Mansfield, OH 44907

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Mansfield 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 4 clinicians reassign Medicare billing to Mansfield Plastic Surgery, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Rafael Villalobos, D.O.

Plastic and Reconstructive Surgery

NPI 1508946518

1151 BETHEL RD STE 101
Columbus, OH 43220

(614) 457-7772

✔ PECOS55 mi

Stephen Poteet, MD

Plastic and Reconstructive Surgery

NPI 1235286048

112 MOREY DR
Marysville, OH 43040

(937) 209-3100

✔ PECOS✔ Accepts Medicare57 mi

Christina Hunt

Nurse Practitioner

NPI 1922406552

3075 GOVERNORS PLACE BLVD
Dayton, OH 45409

(937) 424-2580

✔ PECOS✔ Accepts Medicare114 mi

Alexandre Prassinos, MD

Plastic and Reconstructive Surgery

NPI 1902396401

2000 6TH AVE S
Birmingham, AL 35233

(205) 934-9999

✔ PECOS✔ Accepts Medicare552 mi

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 Mansfield Plastic Surgery, LLC's NPI number?

The NPI number for Mansfield Plastic Surgery, LLC is 1417191636. It was assigned to this organization in the NPPES registry on May 1, 2009.

Where is Mansfield Plastic Surgery, LLC located?

Mansfield Plastic Surgery, LLC is located at 370 Cline Ave, Mansfield, OH 44907. The listed phone number is (419) 756-1125.

What is Mansfield Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Mansfield Plastic Surgery, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Mansfield Plastic Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Mansfield 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. The largest specialties are Plastic and Reconstructive Surgery (3) and Nurse Practitioner (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mansfield Plastic Surgery, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Mansfield Plastic Surgery, LLC 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 Mansfield Plastic Surgery, LLC was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.