PLASTIC AND PERIPHERAL NERVE SURGERY LLC
NPI 1760044325
Surgery - Plastic and Reconstructive Surgery in Sun Lakes, AZ

Q: What is Plastic And Peripheral Nerve Surgery LLC's specialty?

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

Active since July 03, 2019

25229 S SUN LAKES BLVD STE 101, SUN LAKES, AZ 85248(480) 802-8511(480) 802-8129 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 18, 2019, Jul 3, 2019 (2 updates tracked since 2019).

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About Plastic And Peripheral Nerve Surgery Llc NPPES

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

PLASTIC AND PERIPHERAL NERVE SURGERY LLC (NPI 1760044325) is a healthcare organization registered as a plastic and reconstructive surgery in Sun Lakes, Arizona and active in the NPI registry since July 2019. The organization lists Sean Wolfort, Member, as its authorized official.

NPPES Registry Identity

NPI1760044325

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NamePLASTIC AND PERIPHERAL NERVE SURGERY LLC

Location Address25229 S SUN LAKES BLVD STE 101Sun Lakes, AZ 85248-6465

Mailing Address25229 S Sun Lakes Blvd Ste 101Sun Lakes, AZ 85248-6465 · (480) 802-8511 · Fax (480) 802-8129

Phone(480) 802-8511

Fax(480) 802-8129

Organization SubpartNo

Authorized OfficialSean WolfortMember · (480) 802-8511

Enumeration DateJuly 3, 2019

Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration

✔ NPI 1760044325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Definition

A surgeon who specializes in plastic and reconstructive surgery.

25229 S SUN LAKES BLVD STE 101, Sun Lakes, AZ 85248

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plastic And Peripheral Nerve Surgery Llc 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 Plastic And Peripheral Nerve Surgery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sean Wolfort, M.D.

Plastic and Reconstructive Surgery

NPI 1477517712

5801 S MCCLINTOCK DR STE 104
Tempe, AZ 85283

(480) 802-8511

✔ PECOS✔ Accepts Medicare11 mi

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 Plastic And Peripheral Nerve Surgery LLC's NPI number?

The NPI number for Plastic And Peripheral Nerve Surgery LLC is 1760044325. It was assigned to this organization in the NPPES registry on July 3, 2019.

Where is Plastic And Peripheral Nerve Surgery LLC located?

Plastic And Peripheral Nerve Surgery LLC is located at 25229 S Sun Lakes Blvd Ste 101, Sun Lakes, AZ 85248. The listed phone number is (480) 802-8511.

What is Plastic And Peripheral Nerve Surgery LLC's specialty?

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

Is Plastic And Peripheral Nerve Surgery LLC enrolled in Medicare?

Yes. Plastic And Peripheral Nerve Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plastic And Peripheral Nerve Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Plastic And Peripheral Nerve Surgery LLC. 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 Plastic And Peripheral Nerve Surgery LLC was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.