Organization Active NPI

Vvctx, PLLC

  • Phlebology Physician
  • Coppell, TX
National Provider Identifier
1013783497
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
VVCTX, PLLC
Practice address
137 E State Highway 121 Ste 100
Coppell, TX 75019-7984
Phone
(312) 718-2368
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Dr. Satish Vayuvegula, MDNPI 1477547875
Title
Managing Member
Phone
(312) 718-2368

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

137 E State Highway 121 Ste 100
Coppell, TX 75019-7984

Mailing address

4721 Holland LN
Carrollton, TX 75010-4594
Phone (312) 718-2368

Other names 1

  • Vein Care Centers of Texas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240715000282 TX Part B Supplier - Clinic/Group Practice 8224573274 Receives reassigned benefits from 1 practitioner
Practice locations: Coppell, TX

National Provider Directory

National Provider Directory

Locations

137 E State Highway 121
Ste 100
Coppell, TX 75019
Phone (312) 718-2368

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": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1013783497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 HOLLAND LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104594",
            "telephone_number": "312-718-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E STATE HIGHWAY 121 STE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197984",
            "telephone_number": "312-718-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VVCTX, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "VAYUVEGULA",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "312-718-2368",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Vein Care Centers of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.