ADVANCED PLASTIC SURGERY, PC
NPI 1730527326
Plastic Surgery in Grand Rapids, MI

Q: What is Advanced Plastic Surgery, PC's NPI number?

The NPI number for Advanced Plastic Surgery, PC is 1730527326. It was assigned to this organization in the NPPES registry on June 5, 2013.

Q: What is Advanced Plastic Surgery, PC's specialty?

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

Active since June 05, 2013

3855 BURTON ST SE STE A, GRAND RAPIDS, MI 49546(616) 323-3102(616) 323-3061 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2025, Apr 10, 2023 (2 updates tracked since 2023).

On this page

About Advanced Plastic Surgery, Pc NPPES

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

ADVANCED PLASTIC SURGERY, PC (NPI 1730527326) is a healthcare organization registered as a plastic surgery in Grand Rapids, Michigan and active in the NPI registry since June 2013. The organization lists Ewa D Komorowska-timek, Owner, as its authorized official.

NPPES Registry Identity

NPI1730527326

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameADVANCED PLASTIC SURGERY, PC

Location Address3855 BURTON ST SE STE AGrand Rapids, MI 49546-6147

Mailing Address3855 Burton St Se Ste AGrand Rapids, MI 49546-6147 · (616) 323-3102 · Fax (616) 323-3061

Phone(616) 323-3102

Fax(616) 323-3061

Organization SubpartNo

Authorized OfficialEwa D Komorowska-timekOwner · (616) 206-1040

Enumeration DateJune 5, 2013

Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2025

✔ NPI 1730527326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in MI · 4301095374

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.

3855 BURTON ST SE STE A, Grand Rapids, MI 49546

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

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

Clinician (1)

Ewa Komorowska Timek, MD

Plastic and Reconstructive Surgery

NPI 1710996319

3855 BURTON ST SE STE A
Grand Rapids, MI 49546

(616) 323-3102

✔ 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 Advanced Plastic Surgery, PC's NPI number?

The NPI number for Advanced Plastic Surgery, PC is 1730527326. It was assigned to this organization in the NPPES registry on June 5, 2013.

Where is Advanced Plastic Surgery, PC located?

Advanced Plastic Surgery, PC is located at 3855 Burton St SE Ste A, Grand Rapids, MI 49546. The listed phone number is (616) 323-3102.

What is Advanced Plastic Surgery, PC's specialty?

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

Is Advanced Plastic Surgery, PC enrolled in Medicare?

Yes. Advanced Plastic Surgery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Plastic Surgery, PC?

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

What insurance does Advanced Plastic Surgery, PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Advanced Plastic Surgery, PC 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 Advanced Plastic Surgery, PC was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.