AESTHETIC PLASTIC AND RECONSTRUCTIVE SURGERY, P.C.
NPI 1598932808
Specialist in Longmeadow, MA

Active since May 15, 2008
776 LONGMEADOW ST, LONGMEADOW, MA 01106(413) 565-4400(413) 565-4411 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Aesthetic Plastic And Reconstructive Surgery, P.c. NPPES

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

AESTHETIC PLASTIC AND RECONSTRUCTIVE SURGERY, P.C. (NPI 1598932808) is a healthcare organization registered as a specialist in Longmeadow, Massachusetts and active in the NPI registry since May 2008. The organization lists Glen S. Brooks, President, as its authorized official.

NPPES Registry Identity

NPI1598932808
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAESTHETIC PLASTIC AND RECONSTRUCTIVE SURGERY, P.C.
Location Address776 LONGMEADOW STLongmeadow, MA 01106-2219
Mailing Address776 Longmeadow StLongmeadow, MA 01106-2219 · (413) 565-4400 · Fax (413) 565-4411
Fax(413) 565-4411
Organization SubpartNo
Authorized OfficialGlen S. BrooksPresident · (413) 565-4400
Enumeration DateMay 15, 2008
Last NPPES UpdateNovember 6, 2012
✔ NPI 1598932808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 72709
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
776 LONGMEADOW ST, Longmeadow, MA 01106

Other Identifiers 1

Medicare UPIND87121MA

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aesthetic Plastic And Reconstructive Surgery, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20121114000665Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Aesthetic Plastic And Reconstructive Surgery, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Plastic and Reconstructive Surgery
NPI 1588637847
776 LONGMEADOW ST
Longmeadow, MA 01106
(413) 565-4400
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1396231874
41 BURLINGTON MALL ROAD
Burlington, MA 01805
(781) 744-5100
✔ PECOS77 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 Aesthetic Plastic And Reconstructive Surgery, P.C.'s NPI number?

The NPI number for Aesthetic Plastic And Reconstructive Surgery, P.C. is 1598932808. It was assigned to this organization in the NPPES registry on May 15, 2008.

Where is Aesthetic Plastic And Reconstructive Surgery, P.C. located?

Aesthetic Plastic And Reconstructive Surgery, P.C. is located at 776 Longmeadow St, Longmeadow, MA 01106. The listed phone number is (413) 565-4400.

What is Aesthetic Plastic And Reconstructive Surgery, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Aesthetic Plastic And Reconstructive Surgery, P.C. enrolled in Medicare?

Yes. Aesthetic Plastic And Reconstructive Surgery, P.C. is registered in the Medicare PECOS enrollment system.

When is Aesthetic Plastic And Reconstructive Surgery, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Aesthetic Plastic And Reconstructive Surgery, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Aesthetic Plastic And Reconstructive Surgery, P.C.. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Aesthetic Plastic And Reconstructive Surgery, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Aesthetic Plastic And Reconstructive Surgery, P.C. 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 Aesthetic Plastic And Reconstructive Surgery, P.C. was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.