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COSMETICSURG.NET
NPI 1578763199
Clinic/Center - Ambulatory Surgical in Lutherville Timonium, MD

Active since July 22, 2007CLIA 21D2138145 · Waiver
1300 BELLONA AVE, SUITE C, LUTHERVILLE TIMONIUM, MD 21093(410) 494-8100(410) 494-0815 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cosmeticsurg.net NPPES

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

COSMETICSURG.NET (NPI 1578763199) is a healthcare organization registered as an ambulatory surgical in Lutherville Timonium, Maryland and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Ricardo L Rodriguez, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1578763199
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOSMETIC SURGERY FACILITY LLC
Location Address1300 BELLONA AVE, SUITE CLutherville Timonium, MD 21093-5465
Mailing Address1300 Bellona Ave, Suite CLutherville Timonium, MD 21093-5465 · (410) 494-8100 · Fax (410) 494-0815
Phone(410) 494-8100
Fax(410) 494-0815
Organization SubpartNo
Authorized OfficialRicardo L RodriguezMedical Director · (410) 494-8100
Enumeration DateJuly 22, 2007
Last NPPES UpdateApril 15, 2014
✔ NPI 1578763199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MD · A1462
Also ListedPlastic SurgeryTaxonomy 208200000X · License D41395 (MD)
1300 BELLONA AVE, Lutherville Timonium, MD 21093
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Other Names 1

Doing Business AsCosmeticsurg.net

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cosmeticsurg.net 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 Cosmeticsurg.Net, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ricardo Rodriguez, MD
Plastic and Reconstructive Surgery
NPI 1912099920
1300 BELLONA AVE SUITE C
Lutherville, MD 21093
(410) 494-8100
✔ PECOSSame 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 21D2138145

Cosmetic Surgery Facility LLC · Lutherville, MD
Active · expires Oct 10, 2027
CLIA Number21D2138145
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorRicardo L. Rodriguez MD
Laboratory Phone(410) 494-8100
Laboratory LocationCosmetic Surgery Facility LLC1300 Bellona Avenue Suite C, Lutherville, MD 21093
CLIA data matches this NPI record on: 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 Cosmetic Surgery Facility LLC's NPI number?

The NPI number for Cosmetic Surgery Facility LLC is 1578763199. It was assigned to this organization in the NPPES registry on July 22, 2007. The provider is doing business as Cosmeticsurg.Net.

Where is Cosmetic Surgery Facility LLC located?

Cosmetic Surgery Facility LLC is located at 1300 Bellona Ave Suite C, Lutherville Timonium, MD 21093. The listed phone number is (410) 494-8100.

What is Cosmetic Surgery Facility LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Cosmetic Surgery Facility LLC enrolled in Medicare?

Yes. Cosmetic Surgery Facility LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cosmetic Surgery Facility LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Cosmetic Surgery Facility 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.

Does Cosmetic Surgery Facility LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2138145) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cosmetic Surgery Facility LLC was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.