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PHX PLASTIC SURGERY
NPI 1720597065
Surgery - Plastic and Reconstructive Surgery in Peoria, AZ

Active since September 28, 2017
15396 N 83RD AVE STE B100, PEORIA, AZ 85381(602) 610-2999(623) 321-7821 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Phx Plastic Surgery NPPES

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

PHX PLASTIC SURGERY (NPI 1720597065) is a healthcare organization registered as a plastic and reconstructive surgery in Peoria, Arizona and active in the NPI registry since September 2017. The organization lists Jason D Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1720597065
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameJASON DANIEL JOHNSON, PLLC
Location Address15396 N 83RD AVE STE B100Peoria, AZ 85381-5626
Mailing Address15396 N 83rd Ave Ste B100Peoria, AZ 85381-5626 · (602) 610-2999 · Fax (623) 321-7821
Phone(602) 610-2999
Fax(623) 321-7821
Organization SubpartNo
Authorized OfficialJason D JohnsonOwner · (602) 610-2999
Enumeration DateSeptember 28, 2017
Last NPPES UpdateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1720597065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in AZ · 006929
Definition
A surgeon who specializes in plastic and reconstructive surgery.
15396 N 83RD AVE STE B100, Peoria, AZ 85381
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Other Names 1

Doing Business AsPhx Plastic Surgery

Other Identifiers 1

Medicaid033104AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phx Plastic Surgery 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 Phx Plastic Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jason Johnson, D.O.
Plastic and Reconstructive Surgery
NPI 1780709394
15396 N 83RD AVE STE B100
Peoria, AZ 85381
(602) 610-2999
✔ 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 Jason Daniel Johnson, PLLC's NPI number?

The NPI number for Jason Daniel Johnson, PLLC is 1720597065. It was assigned to this organization in the NPPES registry on September 28, 2017. The provider is doing business as Phx Plastic Surgery.

Where is Jason Daniel Johnson, PLLC located?

Jason Daniel Johnson, PLLC is located at 15396 N 83rd Ave Ste B100, Peoria, AZ 85381. The listed phone number is (602) 610-2999.

What is Jason Daniel Johnson, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jason Daniel Johnson, PLLC enrolled in Medicare?

Yes. Jason Daniel Johnson, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jason Daniel Johnson, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Jason Daniel Johnson, 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.

What insurance does Jason Daniel Johnson, PLLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Jason Daniel Johnson, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Daniel Johnson, PLLC was last updated on April 6, 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.