EAST ALABAMA PLASTIC SURGERY, LLC
NPI 1659634624
Plastic Surgery in Auburn, AL

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

The NPI number for East Alabama Plastic Surgery, LLC is 1659634624. It was assigned to this organization in the NPPES registry on June 24, 2012.

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

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

Active since June 24, 2012CLIA 01D2306308 · Waiver

778 N DEAN RD, SUITE 400, AUBURN, AL 36830(334) 321-4989 Get Directions Write a Review

NPPES record last updated: June 24, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About East Alabama Plastic Surgery, Llc NPPES

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

EAST ALABAMA PLASTIC SURGERY, LLC (NPI 1659634624) is a healthcare organization registered as a plastic surgery in Auburn, Alabama and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through June 13, 2028 and lists Ralph L Aquadro, Llc Member, as its authorized official.

NPPES Registry Identity

NPI1659634624

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameEAST ALABAMA PLASTIC SURGERY, LLC

Location Address778 N DEAN RD, SUITE 400Auburn, AL 36830-4312

Mailing Address778 N Dean Rd, Suite 400Auburn, AL 36830-4312 · (334) 321-4989

Phone(334) 321-4989

Organization SubpartNo

Authorized OfficialRalph L AquadroLlc Member · (334) 321-4989

Enumeration DateJune 24, 2012

✔ NPI 1659634624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in AL · MD.31455

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.

778 N DEAN RD, Auburn, AL 36830

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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)

East Alabama 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 2 clinicians reassign Medicare billing to East Alabama Plastic Surgery, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ralph Aquadro, MD

Plastic and Reconstructive Surgery

NPI 1992835722

1935 E. GLENN AVE. STE 102
Auburn, AL 36830

(334) 321-4989

✔ PECOS✔ Accepts Medicare1.7 mi

Grant Bond, M.D.

Plastic and Reconstructive Surgery

NPI 1669890943

415 E SOUTHLAKE BLVD STE 101
Southlake, TX 76092

(817) 416-8080

✔ PECOS680 mi

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 01D2306308

East Alabama Plastic Surgery · Auburn, AL

Active · expires Jun 13, 2028

CLIA Number01D2306308

Laboratory TypePhysician Office

Certificate Effective DateJune 14, 2026

Certificate Expiration DateJune 13, 2028

Laboratory DirectorDr. Ralph L. Aquadro

Laboratory Phone(334) 321-4989

Laboratory LocationEast Alabama Plastic Surgery1935 E Glenn Ave, Ste 102, Auburn, AL 36830

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 East Alabama Plastic Surgery, LLC's NPI number?

The NPI number for East Alabama Plastic Surgery, LLC is 1659634624. It was assigned to this organization in the NPPES registry on June 24, 2012.

Where is East Alabama Plastic Surgery, LLC located?

East Alabama Plastic Surgery, LLC is located at 778 N Dean Rd Suite 400, Auburn, AL 36830. The listed phone number is (334) 321-4989.

What is East Alabama Plastic Surgery, LLC's specialty?

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

Is East Alabama Plastic Surgery, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through East Alabama Plastic Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to East Alabama 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Alabama Plastic Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2306308) is associated with this NPI, valid through June 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Alabama Plastic Surgery, LLC was last updated on June 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.