PRISM PLASTIC SURGERY PLLC – NPI #1245917038
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

PRISM PLASTIC SURGERY PLLC is a surgeon located in CHICAGO, IL. NPPES has assigned the NPI number 1245917038 to PRISM PLASTIC SURGERY PLLC on July 03, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was last updated on Dec 06, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRISM PLASTIC SURGERY PLLC below.

NPI Profile for
PRISM PLASTIC SURGERY PLLC

NPI Number
1245917038
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRISM PLASTIC SURGERY PLLC
Primary location
2845 N. SHERIDAN RD
STE 903
CHICAGO, IL 60657
Phone: (312) 872-8514 Fax:
1 Other location(s):
800 Biesterfield Rd Ste 765
Elk Grove Village, IL 60007-3361
Phone: (312) 872-8514
Mailing address
2517 W SHAKESPEARE AVE
CHICAGO, IL 60647-4117
Phone: (847) 507-7077 Fax:
Organization Subpart
No
Authorized Official
SAMEER KAPADIA
OWNER
Phone: (847) 507-7707
Updated
Certification Date
Dec 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.