Active NPI
Daniel S Krcelic, M.D.
- Vascular Surgery Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 66443
- Practice address
- 7165 E University Dr Ste 183
Mesa, AZ 85207-6415 - Phone
- (480) 668-5000
- Fax
- (480) 668-5065
- NPI assigned
- Jun 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 66443 | AZ | Primary |
| Vascular Surgery Physician | 2086S0129X | 59339 | TN |
Addresses
Primary practice location
7165 E University Dr Ste 183
Mesa, AZ 85207-6415
Mailing address
7165 E University Dr Ste 187
Mesa, AZ 85207-6415
Phone (480) 668-5000
Other practice location 1
120 W Highway 287 Ste 4
Florence, AZ 85132-8170
Phone (480) 668-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125341 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7165 E University Dr
Suite 183
Mesa, AZ 85207-6415
Phone (480) 668-5000
Hospital & facility affiliations
- Banner Heart Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.11 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 164 |
| Leg revascularization (restoring blood flow) | 103 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Vascular Institute PLLC | Vascular Surgery | Current | Accepting new patients |
| Western Vascular Institute PLLC | Vascular Surgery | Current | Accepting new patients |
Locations
120 W Highway 287
Ste 4
Florence, AZ 85132
7165 E University Dr
Mesa, AZ 85207
Phone (480) 703-7950
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
7165 E University Dr
Ste 183
Mesa, AZ 85207
7165 E University Dr
Ste 187
Mesa, AZ 85207
Phone 4806685000 ext. 316
903 E State Highway 260
Payson, AZ 85541
Phone (928) 474-0500
708 S Coeur D Alene Ln
Ste B
Payson, AZ 85541
Phone (928) 468-8603
3600 N 3rd Ave
Ste B
Phoenix, AZ 85013
Phone (602) 476-0800
Interoperability endpoints
- daniel.krcelic.p1@direct.wvi.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- dkrcelic410477@direct.hfhs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular Surgery Physician
- Mesa, AZ
- NPI 1760426001
-
- Vascular Surgery Physician
- Mesa, AZ
- NPI 1265521181
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Mesa, AZ
- NPI 1215961248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1114289774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7165 E UNIVERSITY DR STE 187",
"city": "MESA",
"state": "AZ",
"postal_code": "852076415",
"telephone_number": "480-668-5000",
"fax_number": "480-428-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7165 E UNIVERSITY DR STE 183",
"city": "MESA",
"state": "AZ",
"postal_code": "852076415",
"telephone_number": "480-668-5000",
"fax_number": "480-668-5065"
}
],
"practiceLocations": [
{
"address_1": "120 W Highway 287 Ste 4",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AZ",
"postal_code": "851328170",
"country_code": "US",
"telephone_number": "480-668-5000",
"fax_number": "480-668-5065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRCELIC",
"first_name": "DANIEL",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "66443",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "59339",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125341",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.