Elite Plastic & Reconstructive Surgery, PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

M3496 Issued in TX

Legal business name

ELITE PLASTIC & RECONSTRUCTIVE SURGERY, PA

Practice address

11212 State Highway 151
Medical Plaza #2 Suite 230
San Antonio, TX 78251-4498

Phone

(210) 265-1924

Fax

(210) 265-3387

NPI assigned

Mar 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Deowall Chattar-Cora, MDNPI 1699733576

Title

Owner/MD

Phone

(210) 265-1924

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deowall Chattar-Cora, M.D.

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
  • NPI 1699733576
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1508108887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 ROGERS RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514853",
            "telephone_number": "210-265-1924",
            "fax_number": "210-265-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "address_2": "MEDICAL PLAZA #2 SUITE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "210-265-1924",
            "fax_number": "210-265-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PLASTIC & RECONSTRUCTIVE SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "CHATTAR-CORA",
        "authorized_official_first_name": "DEOWALL",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "210-265-1924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "M3496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "313312",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Logistics Solutions, LLC
• Elite Medical Transportation
• Elite Mobile Specimen Services, LLC
• Elite Neuromonitoring, PLLC
• Elite Physical Therapy LLC
• Elite Rehab Services, LLC
• Elite Rejuvenation Clinic
• Elite Seniors Home Care LLP
• Elite Surgical Assisting of South Texas
• Elite Surgical Associates of Sa

• Plastic and Reconstructive Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.