Individual provider Active NPI

Daniel S Krcelic, M.D.

  • Vascular Surgery Physician
  • Mesa, AZ
National Provider Identifier
1114289774
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
66443 Issued in AZ
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

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
125341MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220513002428 AZ Practitioner - Vascular Surgery 4688810385 Reassigns benefits to 1 organization

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
Western Vascular Institute PLLCGroup PAC ID 7618903386, 8 clinicians

Practice addresses (Care Compare)

7165 E University Dr
Suite 183
Mesa, AZ 85207-6415
Phone (480) 668-5000

Hospital & facility affiliations

  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105

Merit-based Incentive Payment System (MIPS)

Final score
97.11 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal164
Leg revascularization (restoring blood flow)103
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Western Vascular Institute PLLC Vascular Surgery CurrentSince Jun 26, 2022 Accepting new patients
Western Vascular Institute PLLC Vascular Surgery CurrentSince Jul 1, 2022 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

  • Direct secure messaging: daniel.krcelic.p1@direct.wvi.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.