AHWATUKEE FOOTHILLS PLASTIC SURGERY PC
NPI 1679872303
Plastic Surgery in Phoenix, AZ

Active since March 21, 2011
15810 S 45TH ST STE 190, PHOENIX, AZ 85048(480) 239-4799 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ahwatukee Foothills Plastic Surgery Pc NPPES

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

AHWATUKEE FOOTHILLS PLASTIC SURGERY PC (NPI 1679872303) is a healthcare organization registered as a plastic surgery in Phoenix, Arizona and active in the NPI registry since March 2011. The organization lists Todd K Farnworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1679872303
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameAHWATUKEE FOOTHILLS PLASTIC SURGERY PC
Location Address15810 S 45TH ST STE 190Phoenix, AZ 85048-7697
Mailing Address15801 S 37th StPhoenix, AZ 85048-7325 · (480) 239-4799
Organization SubpartNo
Authorized OfficialTodd K FarnworthOwner · (480) 239-4799
Enumeration DateMarch 21, 2011
Last NPPES UpdateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1679872303 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.
15810 S 45TH ST STE 190, Phoenix, AZ 85048

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)

Ahwatukee Foothills Plastic Surgery Pc 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 Ahwatukee Foothills Plastic Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Surgery
NPI 1811961113
15810 S 45TH ST STE 140
Phoenix, AZ 85048
(480) 759-3001
✔ PECOS✔ Accepts MedicareSame address

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 Ahwatukee Foothills Plastic Surgery PC's NPI number?

The NPI number for Ahwatukee Foothills Plastic Surgery PC is 1679872303. It was assigned to this organization in the NPPES registry on March 21, 2011.

Where is Ahwatukee Foothills Plastic Surgery PC located?

Ahwatukee Foothills Plastic Surgery PC is located at 15810 S 45th St Ste 190, Phoenix, AZ 85048. The listed phone number is (480) 239-4799.

What is Ahwatukee Foothills Plastic Surgery PC's specialty?

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

Is Ahwatukee Foothills Plastic Surgery PC enrolled in Medicare?

Yes. Ahwatukee Foothills Plastic Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ahwatukee Foothills Plastic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Ahwatukee Foothills Plastic Surgery PC. 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 Ahwatukee Foothills Plastic Surgery PC was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.