Active NPI
Remus Repta, MD
- Plastic and Reconstructive Surgery Physician
- Scottsdale, AZ
National Provider Identifier
1861615262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 37978
- Practice address
- 3271 N Civic Center PLZ Ste 105
Scottsdale, AZ 85251-6990 - Phone
- (855) 377-3782
- Fax
- (928) 268-3517
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 37978 | AZ | Primary |
Addresses
Primary practice location
3271 N Civic Center PLZ Ste 105
Scottsdale, AZ 85251-6990
Mailing address
3271 N Civic Center PLZ Ste 105
Scottsdale, AZ 85251-6990
Phone (855) 377-3782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37978 | AZ | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Plastic Reconstruction PLLC | Plastic and Reconstructive Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Phoenix, AZ
- NPI 1639330566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1861615262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3271 N CIVIC CENTER PLZ STE 105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516990",
"telephone_number": "855-377-3782",
"fax_number": "928-268-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3271 N CIVIC CENTER PLZ STE 105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516990",
"telephone_number": "855-377-3782",
"fax_number": "928-268-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPTA",
"first_name": "REMUS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "AZ",
"license": "37978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.