MARK D SUSKI MD A PROFESSIONAL CORPORATION
NPI 1669542080
Surgery - Plastic and Reconstructive Surgery in Thousand Oaks, CA
About Mark D Suski Md A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK D SUSKI MD A PROFESSIONAL CORPORATION (NPI 1669542080) is a healthcare organization registered as a plastic and reconstructive surgery in Thousand Oaks, California and active in the NPI registry since November 2006. The organization lists Mark D Suski, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
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)
Mark D Suski Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark D Suski MD A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mark D Suski MD A Professional Corporation's NPI number?
The NPI number for Mark D Suski MD A Professional Corporation is 1669542080. It was assigned to this organization in the NPPES registry on November 9, 2006.
Where is Mark D Suski MD A Professional Corporation located?
Mark D Suski MD A Professional Corporation is located at 2220 Lynn Rd Suite 102, Thousand Oaks, CA 91360. The listed phone number is (805) 494-3330.
What is Mark D Suski MD A Professional Corporation's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Mark D Suski MD A Professional Corporation enrolled in Medicare?
Yes. Mark D Suski MD A Professional Corporation is registered in the Medicare PECOS enrollment system.
When is Mark D Suski MD A Professional Corporation'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 (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Mark D Suski MD A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Mark D Suski MD A Professional Corporation. 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 Mark D Suski MD A Professional Corporation was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mark D Suski Md A Professional Corporation · NPI 1669542080
Plastic and Reconstructive Surgery organization in Thousand Oaks, California. Organization record, active in the CMS NPPES registry since November 9, 2006.
## Identity
- **NPI:** 1669542080 (Entity type: Organization)
- **Enumerated:** November 9, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Organization subpart:** No
- **Authorized official:** Mark Suski, PRESIDENT
## Practice location
- **Address:** 2220 LYNN RD, SUITE 102, Thousand Oaks, CA 91360-1904
- **Phone:** (805) 494-3330 · **Fax:** (805) 494-1255
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 24, 2009
- **Other identifiers:** Medicare PIN G76464 (CA); Other G76464 (CA); Other 00G764640 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1669542080) · Data from the CMS NPPES public registry.