DR. SUSAN K BUENAVENTURA (MD) – Plastic and Reconstructive Surgery Physician, NPI 1336111491

DR. SUSAN K BUENAVENTURA (MD) is a healthcare provider. based in Alexandria, Virginia. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 0101051213 (VA). The NPI Number for DR. SUSAN K BUENAVENTURA (MD) is 1336111491

Main info

Female
Sole Proprietor
38 Years Of Experience
Name
DR. SUSAN K BUENAVENTURA (MD)
NPI
1336111491
Phone
(703) 751-0800
Address
5425 DUKE STREET
Enumeration Date
3 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
7037510800
Graduation Year
1988 (38 years ago)
PAC ID
5496762908
Professional Enrollment ID
I20060308000455
Address ID
VA223043101AL5425XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

183 PLASTIC AND RECONSTRUCTIVE SURGERY in VA

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Provider Addresses for DR. SUSAN K BUENAVENTURA (MD)

  • 5425, Duke Street, WestEnd Alexandria, Patrick Henry, Alexandria, Virginia, 22304, United States

    ALEXANDRIA, VA 22304

    Phone: (703) 751-0800

    Fax: (703) 751-4378

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $594.

Total Amount is formed as General ($594) + Research ($0) + Ownership ($0) = $594.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Mentor Worldwide LLC ($197).

Total Amount

$594

General + Research + Ownership

Payments

16

Total payment records

General Amount

$594

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2006-03-08

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
I20060308000455IPlastic And Reconstructive SurgeryDCTBD

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 22304)

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Reviews

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Frequently asked questions

How do payers reference DR. SUSAN K BUENAVENTURA (MD)?
For DR. SUSAN K BUENAVENTURA (MD), use NPI 1336111491 as the unique 10-digit identifier.
Would DR. SUSAN K BUENAVENTURA (MD) appear as active to a payer?
You can treat DR. SUSAN K BUENAVENTURA (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. SUSAN K BUENAVENTURA (MD)?
DR. SUSAN K BUENAVENTURA (MD)'s record emphasizes Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SUSAN K BUENAVENTURA (MD)?
Travel planning: use Alexandria, Virginia as the reference point for DR. SUSAN K BUENAVENTURA (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.