Organization Active NPI

Vein & Vascular LLC

  • Phlebology Physician
  • Las Cruces, NM
National Provider Identifier
1003704867
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
VEIN & VASCULAR LLC
Practice address
700 S Telshor Blvd Ste 1460
Las Cruces, NM 88011-8607
Phone
(505) 363-3377
Fax
(575) 205-0306
NPI assigned
Jun 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Chandran Vedamanikam, MDNPI 1154585990
Title
Owner
Phone
(505) 363-3377

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
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

700 S Telshor Blvd Ste 1460
Las Cruces, NM 88011-8607

Mailing address

4603 Sandalwood Dr
Las Cruces, NM 88011-9634
Phone (505) 363-3377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251002003170 NM Part B Supplier - Clinic/Group Practice 8820594351 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

700 S Telshor Blvd
Ste 1460
Las Cruces, NM 88011
Phone (505) 363-3377

530 N Telshor Blvd
Las Cruces, NM 88011
Phone (505) 532-5437

Practitioners & affiliated clinicians

Practitioners 1

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": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1003704867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 SANDALWOOD DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119634",
            "telephone_number": "505-363-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S TELSHOR BLVD STE 1460",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118607",
            "telephone_number": "505-363-3377",
            "fax_number": "575-205-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN & VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "VEDAMANIKAM",
        "authorized_official_first_name": "CHANDRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-363-3377",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.