NPIMap

Organization Active NPI

Luxe Aesthetics PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Cary, NC
National Provider Identifier
1184375156
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
LUXE AESTHETICS PLLC
Practice address
3731 NW Cary Parkway
Suite 101
Cary, NC 27513-8436
Phone
(919) 443-2557
Fax
(919) 869-1869
NPI assigned
Jan 12, 2022
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Renzo Zaldivar, MDNPI 1548234313
Title
Provider/Owner
Phone
(919) 443-2557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X NU Primary

Addresses

Primary practice location

3731 NW Cary Parkway
Suite 101
Cary, NC 27513-8436

Mailing address

3731 NW Cary Parkway
PO Box 1027
Morrisville, NC 27560
Phone (919) 443-2557

Other names 1

  • Oculofacial Plastic Surgery Consultants, PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220203000839 NC Part B Supplier - Clinic/Group Practice 0042603672 Receives reassigned benefits from 6 practitioners
Practice locations: Cary, NC; Greensboro, NC; Raleigh, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2276723Luxe Aesthetics3731 NW Cary Parkway Ste 101, Cary, NC 27513Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1184375156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 NW CARY PARKWAY",
            "address_2": "PO BOX 1027",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "27560",
            "telephone_number": "919-443-2557",
            "fax_number": "919-869-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 NW CARY PARKWAY",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138436",
            "telephone_number": "919-443-2557",
            "fax_number": "919-869-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "ZALDIVAR",
        "authorized_official_first_name": "RENZO",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "919-443-2557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oculofacial Plastic Surgery Consultants, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Oculofacial Plastic Surgery Consultants, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.