Organization provider

SP PLASTIC SURGERY, LLC

Plastic Surgery Physician Medicare enrolled

SP PLASTIC SURGERY, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114332301, based in Minnetonka, MN. It is classified under Plastic Surgery Physician.

Getting there

The practice address on file is 15450 HIGHWAY 7 STE 225, Minnetonka, MN 55345. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

15450 HIGHWAY 7 STE 225, Minnetonka, MN 55345 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
57866 MN Plastic Surgery Physician primary

This provider holds licence 57866 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
2466670716

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Plastic Surgery covers

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. NUCC Health Care Provider Taxonomy, code 208200000X
Allopathic & Osteopathic Physicians Plastic Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1114332301 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 25, 2014
Last updatedNov 7, 2022
StatusActive
Practice address 15450 HIGHWAY 7
STE 225
Minnetonka, MN 55345
(763) 999-4170
Fax (763) 951-0941
The last update on file is Nov 7, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1114332301 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 3 3 2 3 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 6 3 4 3 0

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114332301?
NPI 1114332301 is the National Provider Identifier assigned to SP PLASTIC SURGERY, LLC in Minnetonka, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Plastic Surgery Physician cover?
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…
How do I contact SP PLASTIC SURGERY, LLC?
The phone number on file with NPPES is (763) 999-4170, last updated Nov 7, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SP PLASTIC SURGERY, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114332301 a valid number?
Yes. 1114332301 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.