Organization Active NPI

Tucson Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Tucson, AZ
National Provider Identifier
1700475977
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
TUCSON PLASTIC SURGERY
Practice address
5780 N Swan Rd Ste 180
Tucson, AZ 85718-4527
Phone
(520) 448-9490
Fax
(520) 448-9492
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Raman C Mahabir, MDNPI 1477668184
Title
Ceo
Phone
(602) 499-4599

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2082S0099X
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

5780 N Swan Rd Ste 180
Tucson, AZ 85718-4527

Mailing address

5780 N Swan Rd Ste 180
Tucson, AZ 85718-4527
Phone (520) 448-9490

Other names 2

  • Chaotiq Endeavors Doing business as
  • Chaotiq Former legal business name

National Provider Directory

National Provider Directory

Locations

2490 E River Rd
Ste 100
Tucson, AZ 85718
Phone (520) 751-1225

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1700475977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 N SWAN RD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184527",
            "telephone_number": "520-448-9490",
            "fax_number": "520-448-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 N SWAN RD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184527",
            "telephone_number": "520-448-9490",
            "fax_number": "520-448-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "MAHABIR",
        "authorized_official_first_name": "RAMAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-499-4599",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaotiq Endeavors",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chaotiq Endeavors",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chaotiq",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.