KARL HEINZ BREUING (MD) – Plastic Surgery Physician, NPI 1720044472

KARL HEINZ BREUING (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. MD14821 (RI). The NPI Number for KARL HEINZ BREUING (MD) is 1720044472

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
KARL HEINZ BREUING (MD)
NPI
1720044472
Phone
(401) 444-4318
Address
117 ELLEFIELD STREET
Enumeration Date
21 April 2006
Last Update Date
28 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014445495
Graduation Year
1980 (46 years ago)
PAC ID
4688674484
Group Practice PAC ID
2567455082
Professional Enrollment ID
I20150305000499
Address ID
RI029053243PR235XXSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

34 PLASTIC AND RECONSTRUCTIVE SURGERY in RI

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Provider Addresses for KARL HEINZ BREUING (MD)

  • 117 ELLEFIELD STREET

    SUITE 101

    PROVIDENCE, RI 029054513

    Phone: (401) 444-4318

    Type: Mailing

  • 235, Plain Street, Providence, Providence County, Rhode Island, 02905, United States

    STE 501

    PROVIDENCE, RI 029053240

    Phone: (401) 444-5495

    Fax: (401) 444-5716

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $20,500.

Total Amount is formed as General ($20,500) + Research ($0) + Ownership ($0) = $20,500.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: ABBVIE INC. ($17,489).

Total Amount

$20,500

General + Research + Ownership

Payments

27

Total payment records

General Amount

$20,500

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$17,489
TELA Bio, Inc.$3,012
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150305000499IPlastic And Reconstructive SurgeryRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02905)

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Provider's Procedures

KARL HEINZ BREUING (MD) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYRI11042Removal of skin and tissue first 20 sq cm or less3413

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567455082View full group profile

Reviews

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Frequently asked questions

Does KARL HEINZ BREUING (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KARL HEINZ BREUING (MD) uses 1720044472.
Can I rely on KARL HEINZ BREUING (MD) being an active provider?
As of the registry snapshot, KARL HEINZ BREUING (MD) is marked active.
What is KARL HEINZ BREUING (MD)'s specialty?
The listing groups KARL HEINZ BREUING (MD) with Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KARL HEINZ BREUING (MD) on a map?
Expect Providence, Rhode Island as a primary anchor for KARL HEINZ BREUING (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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