Organization Active NPI

Vascular Center of Naples Inc.

  • Vascular Surgery Physician
  • Naples, FL
National Provider Identifier
1114417508
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR CENTER OF NAPLES INC.
Practice address
1875 Veterans Park Dr Ste 2203
Naples, FL 34109-0596
Phone
(239) 431-5884
Fax
(239) 631-6907
NPI assigned
May 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Amy Niloff
Title
Supervisor
Phone
(239) 431-5884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

1875 Veterans Park Dr Ste 2203
Naples, FL 34109-0596

Mailing address

1875 Veterans Park Dr Ste 2203
Naples, FL 34109-0596
Phone (239) 431-5884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180730001072 FL Part B Supplier - Clinic/Group Practice 5890043491 Receives reassigned benefits from 6 practitioners
Practice locations: Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2182580Vascular Center of Naples Inc1875 Veterans Park Drive #2203, Naples, FL 34109Certificate of waiverApr 22, 2028

National Provider Directory

National Provider Directory

Locations

1875 Veterans Park Dr
Ste 2203
Naples, FL 34109
Phone (239) 431-5884

1875 Veterans Park Dr
Ste 2204
Naples, FL 34109

8340 Collier Blvd
Naples, FL 34114
Phone (239) 348-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJHGDD
  • FHIR API: https://api.platform.athenahealth.com/17908/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1114417508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 VETERANS PARK DR STE 2203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090596",
            "telephone_number": "239-431-5884",
            "fax_number": "239-631-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 VETERANS PARK DR STE 2203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090596",
            "telephone_number": "239-431-5884",
            "fax_number": "239-631-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR CENTER OF NAPLES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "NILOFF",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "239-431-5884"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.