Konrad Sarosiek, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD0000056755 Issued in TN

Practice address

1909 Mallory LN Ste 104
Franklin, TN 37067-8230

Phone

(615) 771-7718

NPI assigned

Apr 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Drexel University College of Medicine, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plastic Surgery Clinic, PLLC

  • Specialist
  • Franklin, TN
  • NPI 1508903931

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1639313083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN STE 104",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678230",
            "telephone_number": "615-771-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN STE 104",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678230",
            "telephone_number": "615-771-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAROSIEK",
        "first_name": "KONRAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "MD0000056755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yehimarie Santiago, DC
• Sara B Northcutt DDS Family & Cosmetic Dentistry
• Ana Maria Sarasti, M.D.
• Saaimaanav Saravanan
• Nicholas Sarola, P.T.
• Karen Mougey Sartin, CCC-SLP
• Kimberly E Sauers, DPT
• Charlotte Ruth Sauter, PA-C
• Michaelia Savage
• Robert Stephen Saville, LCSW

• Plastic Surgery Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.