KARL HEINZ BREUING MD
NPI 1720044472
Plastic Surgery in Providence, RI

Q: What is Karl Breuing's NPI number?

The NPI number for Karl Breuing is 1720044472. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Q: What is Karl Breuing's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karl Breuing was last updated on April 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment

235 PLAIN ST, STE 501, PROVIDENCE, RI 02905(401) 444-5495(401) 444-5716 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Karl Heinz Breuing Md NPPES

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

KARL HEINZ BREUING MD (NPI 1720044472) is an individual plastic surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD14821) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1720044472

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameKARL HEINZ BREUINGCredential: MD

Location Address235 PLAIN ST, STE 501Providence, RI 02905-3240

Mailing Address117 Ellefield Street, Suite 101Providence, RI 02905-4513 · (401) 444-4318

Phone(401) 444-5495

Fax(401) 444-5716

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateApril 21, 2006

Last NPPES UpdateApril 28, 2015

✔ NPI 1720044472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in RI · MD14821

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.

235 PLAIN ST, Providence, RI 02905

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Other Identifiers 2

Medicare OSCAR/certificationU400195512RI

Medicaid1720044472RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karl Heinz Breuing Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688674484

PECOS Enrollment IDI20150305000499

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTER FOR PLASTIC AND HAND SURGERY PC

Plastic Surgery

235 PLAIN ST, SUITE 203
PROVIDENCE, RI 02905

Providence County (401) 632-4700

PATRICK K. SULLIVAN, MD, LTD.

Plastic Surgery

235 PLAIN ST, SUITE 502
PROVIDENCE, RI 02905

Providence County (401) 831-8300

NAUREEN ATTIULLAH MD

Psychiatry & Neurology (Psychiatry)

235 PLAIN ST, SUITE 501
PROVIDENCE, RI 02905

Providence County (401) 444-7442

ROBERT B BREEN PHD

Psychologist (Clinical)

235 PLAIN ST, SUITE 501
PROVIDENCE, RI 02905

Providence County (401) 444-7442

NEUROSURGICAL CARE, LLC

Neurological Surgery

235 PLAIN ST
PROVIDENCE, RI 02905

Providence County (401) 521-9909

LAWRENCE P BOWEN MD INC

Surgery (Plastic and Reconstructive Surgery)

235 PLAIN ST, SUITE 304
PROVIDENCE, RI 02905

Providence County (401) 331-4140

LYNNETTE M SCOLPINO CNM

Advanced Practice Midwife

235 PLAIN ST, SUTIE 401
PROVIDENCE, RI 02905

Providence County (401) 421-1710

GARY WHARTON MD

Obstetrics & Gynecology

235 PLAIN ST
PROVIDENCE, RI 02905

Providence County (401) 421-1710

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 Karl Breuing's NPI number?

The NPI number for Karl Breuing is 1720044472. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Karl Breuing located?

Karl Breuing practices at 235 Plain St Ste 501, Providence, RI 02905. The listed phone number is (401) 444-5495.

What is Karl Breuing's specialty?

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

Is Karl Breuing enrolled in Medicare?

Yes. Karl Breuing is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Karl Breuing affiliated with any hospitals?

According to CMS data, Karl Breuing is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Karl Breuing was last updated on April 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.