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PHOENIX PLASTIC SURGERY, PLLC
NPI 1508421819
Surgery - Plastic and Reconstructive Surgery in Phoenix, AZ

Active since May 02, 2019
9250 N 3RD ST STE 1003, PHOENIX, AZ 85020(602) 331-7811(833) 807-8800 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Phoenix Plastic Surgery, Pllc NPPES

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

PHOENIX PLASTIC SURGERY, PLLC (NPI 1508421819) is a healthcare organization registered as a plastic and reconstructive surgery in Phoenix, Arizona and active in the NPI registry since May 2019. The organization lists Roni B Prucz, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1508421819
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePHOENIX PLASTIC SURGERY, PLLC
Location Address9250 N 3RD ST STE 1003Phoenix, AZ 85020-2402
Mailing Address7575 E Redfield Rd Ste 235Scottsdale, AZ 85260-3929 · (304) 685-9808
Phone(602) 331-7811
Fax(833) 807-8800
Organization SubpartNo
Authorized OfficialRoni B PruczManaging Partner · (480) 625-0003
Enumeration DateMay 2, 2019
✔ NPI 1508421819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
9250 N 3RD ST STE 1003, Phoenix, AZ 85020
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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)

Phoenix Plastic Surgery, Pllc 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 Phoenix Plastic Surgery, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roni Prucz, MD
Plastic and Reconstructive Surgery
NPI 1386886943
9250 N 3RD ST STE 1003
Phoenix, AZ 85020
(602) 331-7811
✔ 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 Phoenix Plastic Surgery, PLLC's NPI number?

The NPI number for Phoenix Plastic Surgery, PLLC is 1508421819. It was assigned to this organization in the NPPES registry on May 2, 2019.

Where is Phoenix Plastic Surgery, PLLC located?

Phoenix Plastic Surgery, PLLC is located at 9250 N 3rd St Ste 1003, Phoenix, AZ 85020. The listed phone number is (602) 331-7811.

What is Phoenix Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Phoenix Plastic Surgery, PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Phoenix Plastic Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Phoenix Plastic Surgery, PLLC. 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 Phoenix Plastic Surgery, PLLC was last updated on May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.