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PA SURGERY GROUP LLC
NPI 1891477162
Dentist - Oral and Maxillofacial Surgery in Philadelphia, PA

Active since August 04, 2023
1528 WALNUT ST STE 200, PHILADELPHIA, PA 19102(215) 515-2881 Get Directions Write a Review

NPPES record last updated: October 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pa Surgery Group Llc NPPES

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

PA SURGERY GROUP LLC (NPI 1891477162) is a healthcare organization registered as an oral and maxillofacial surgery in Philadelphia, Pennsylvania and active in the NPI registry since August 2023. The organization lists Ali Mohammad, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1891477162
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePA SURGERY GROUP LLC
Location Address1528 WALNUT ST STE 200Philadelphia, PA 19102-3602
Mailing Address1528 Walnut St Ste 200Philadelphia, PA 19102-3602 · (215) 999-6695
Phone(215) 515-2881
Organization SubpartNo
Authorized OfficialAli MohammadSurgeon · (917) 330-0939
Enumeration DateAugust 4, 2023
Last NPPES UpdateOctober 15, 2023
NPPES CertifiedOctober 15, 2023
✔ NPI 1891477162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1528 WALNUT ST STE 200, Philadelphia, PA 19102
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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 Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. LOGAN DAVIS RUTCH DMD, MMS
Dentist
1528 WALNUT ST STE 200
PHILADELPHIA, PA 19102
Philadelphia County (215) 999-6695
ELEPHANT GROUP SOLUTIONS INC
Clinic/Center (Ambulatory Surgical)
1528 WALNUT ST STE 200
PHILADELPHIA, PA 19102
Philadelphia County (917) 330-0939

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 PA Surgery Group LLC's NPI number?

The NPI number for PA Surgery Group LLC is 1891477162. It was assigned to this organization in the NPPES registry on August 4, 2023.

Where is PA Surgery Group LLC located?

PA Surgery Group LLC is located at 1528 Walnut St Ste 200, Philadelphia, PA 19102. The listed phone number is (215) 515-2881.

What is PA Surgery Group LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does PA Surgery Group LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list PA Surgery Group LLC 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 PA Surgery Group LLC was last updated on October 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.