DESERT VALLEY PLASTIC SURGERY PLLC
NPI 1629682190
Plastic Surgery in Phoenix, AZ

Q: What is Desert Valley Plastic Surgery PLLC's NPI number?

The NPI number for Desert Valley Plastic Surgery PLLC is 1629682190. It was assigned to this organization in the NPPES registry on September 2, 2020.

Q: What is Desert Valley Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since September 02, 2020

18325 N ALLIED WAY STE 120, PHOENIX, AZ 85054(480) 770-5015(480) 691-2450 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Desert Valley Plastic Surgery Pllc NPPES

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

DESERT VALLEY PLASTIC SURGERY PLLC (NPI 1629682190) is a healthcare organization registered as a plastic surgery in Phoenix, Arizona and active in the NPI registry since September 2020. The organization lists Genaro Francisco Valladolid, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1629682190

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameDESERT VALLEY PLASTIC SURGERY PLLC

Location Address18325 N ALLIED WAY STE 120Phoenix, AZ 85054-3107

Mailing Address9393 N 90th St Ste 102, Pmb 291Scottsdale, AZ 85258-5073 · (480) 770-5015 · Fax (480) 691-2450

Phone(480) 770-5015

Fax(480) 691-2450

Organization SubpartNo

Authorized OfficialGenaro Francisco ValladolidMember Manager · (480) 770-5015

Enumeration DateSeptember 2, 2020

NPPES CertifiedSeptember 2, 2020

✔ NPI 1629682190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

18325 N ALLIED WAY STE 120, Phoenix, AZ 85054

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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)

Desert Valley 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 Desert Valley Plastic Surgery PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Genaro Valladolid, M.D.

Plastic and Reconstructive Surgery

NPI 1861788192

545 BARNHILL DR EMERSON HALL, STE 232
Indianapolis, IN 46202

(317) 278-0394

✔ PECOS✔ Accepts Medicare1,485 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 Desert Valley Plastic Surgery PLLC's NPI number?

The NPI number for Desert Valley Plastic Surgery PLLC is 1629682190. It was assigned to this organization in the NPPES registry on September 2, 2020.

Where is Desert Valley Plastic Surgery PLLC located?

Desert Valley Plastic Surgery PLLC is located at 18325 N Allied Way Ste 120, Phoenix, AZ 85054. The listed phone number is (480) 770-5015.

What is Desert Valley Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Desert Valley Plastic Surgery PLLC enrolled in Medicare?

Yes. Desert Valley Plastic Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desert Valley Plastic Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Desert Valley 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 Desert Valley Plastic Surgery PLLC was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.