SUMMIT COSMETIC SURGERY CENTER,PA
NPI 1922061092
Surgery in Wilmington, NC

Q: What is Summit Cosmetic Surgery Center,pa's NPI number?

The NPI number for Summit Cosmetic Surgery Center,pa is 1922061092. It was assigned to this organization in the NPPES registry on April 10, 2006.

Q: What is Summit Cosmetic Surgery Center,pa's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 10, 2006

1717 SHIPYARD BLVD, SUITE 100, WILMINGTON, NC 28403(910) 794-5355(910) 794-5358 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Summit Cosmetic Surgery Center,pa NPPES

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

SUMMIT COSMETIC SURGERY CENTER,PA (NPI 1922061092) is a healthcare organization registered as a surgery in Wilmington, North Carolina and active in the NPI registry since April 2006. The organization lists Edward J Ricciardelli, Owner, as its authorized official.

NPPES Registry Identity

NPI1922061092

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSUMMIT COSMETIC SURGERY CENTER,PA

Location Address1717 SHIPYARD BLVD, SUITE 100Wilmington, NC 28403-8019

Mailing Address1717 Shipyard Blvd, Suite 100Wilmington, NC 28403-8019 · (910) 794-5355 · Fax (910) 794-5358

Phone(910) 794-5355

Fax(910) 794-5358

Organization SubpartNo

Authorized OfficialEdward J RicciardelliOwner · (910) 794-5355

Enumeration DateApril 10, 2006

Last NPPES UpdateJanuary 4, 2011

✔ NPI 1922061092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1717 SHIPYARD BLVD, Wilmington, NC 28403

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Other Identifiers 1

Medicare ID-Type Unspecified2344578NC · Medicare Gp Id

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 Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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)

Summit Cosmetic Surgery Center,pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Summit Cosmetic Surgery Center,pa, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Edward Ricciardelli, MD

Plastic and Reconstructive Surgery

NPI 1073518064

1717 SHIPYARD BLVD SUITE 100
Wilmington, NC 28403

(910) 794-5355

✔ PECOS✔ Accepts MedicareSame address

Maura Jones

Dermatology

NPI 1114623139

1717 SHIPYARD BLVD STE 100
Wilmington, NC 28403

(910) 794-5355

✔ PECOS✔ Accepts MedicareSame address

Lydia Shedlofsky, DO

Dermatology

NPI 1508367186

1717 SHIPYARD BLVD STE 100
Wilmington, NC 28403

(910) 794-5355

✔ PECOS✔ Accepts MedicareSame address

Roger Sica, DO

Dermatology

NPI 1154578797

1717 SHIPYARD BLVD STE 100
Wilmington, NC 28403

(910) 794-5355

✔ PECOS✔ Accepts MedicareSame address

Chelsea Lee, DO

Dermatology

NPI 1104122266

13213 W 21ST CT N
Wichita, KS 67235

(316) 612-1833

✔ PECOS✔ Accepts Medicare1,122 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 Summit Cosmetic Surgery Center,pa's NPI number?

The NPI number for Summit Cosmetic Surgery Center,pa is 1922061092. It was assigned to this organization in the NPPES registry on April 10, 2006.

Where is Summit Cosmetic Surgery Center,pa located?

Summit Cosmetic Surgery Center,pa is located at 1717 Shipyard Blvd Suite 100, Wilmington, NC 28403. The listed phone number is (910) 794-5355.

What is Summit Cosmetic Surgery Center,pa's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Summit Cosmetic Surgery Center,pa enrolled in Medicare?

Yes. Summit Cosmetic Surgery Center,pa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Cosmetic Surgery Center,pa?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Summit Cosmetic Surgery Center,pa. 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. The largest specialties are Dermatology (4) and Plastic and Reconstructive Surgery (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Summit Cosmetic Surgery Center,pa accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Summit Cosmetic Surgery Center,pa 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 Summit Cosmetic Surgery Center,pa was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.