NPIMap

Organization Active NPI

Bespoke Aesthetic Plastic Surgery

Doing business as Bespoke Plastic Surgery

  • Plastic Surgery Physician
  • Rockville, MD
National Provider Identifier
1982313524
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
BESPOKE AESTHETIC PLASTIC SURGERY
Doing business as
Bespoke Plastic Surgery
Practice address
3202 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4219
Phone
(301) 500-0215
Fax
(301) 238-7807
NPI assigned
Nov 22, 2022
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Dr. Nadya Andrea ClarkeNPI 1619101953
Title
Surgeon
Phone
(301) 500-0215

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
Plastic Surgery Physician 208200000X Primary

Addresses

Primary practice location

3202 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4219

Mailing address

3202 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4219
Phone (301) 500-0215

Other names 1

  • Bespoke Plastic Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230915001214 DC Part B Supplier - Clinic/Group Practice 9830554138 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, MD; Rockville, MD; Silver Spring, MD; Bethesda, MD

National Provider Directory

National Provider Directory

Locations

14672 Southlawn Ln
#0
Rockville, MD 20850

9601 Blackwell Rd
Ste 260
Rockville, MD 20850
Phone (301) 500-0215

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1982313524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 TOWER OAKS BLVD STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524219",
            "telephone_number": "301-500-0215",
            "fax_number": "301-238-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 TOWER OAKS BLVD STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524219",
            "telephone_number": "301-500-0215",
            "fax_number": "301-238-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE AESTHETIC PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "NADYA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "301-500-0215",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bespoke Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bespoke Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.