Individual provider Active NPI

Lannery Sioeli Lauvao, MD

  • Vascular Surgery Physician
  • Glendale, AZ
National Provider Identifier
1124242029
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
37847 Issued in AZ
Practice address
18555 N 79TH Ave Ste B101
Glendale, AZ 85308-8372
Phone
(623) 512-4326
Fax
(623) 594-2252
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 37847 AZ Primary

Addresses

Primary practice location

18555 N 79TH Ave Ste B101
Glendale, AZ 85308-8372

Mailing address

18555 N 79TH Ave Ste B101
Glendale, AZ 85308-8372
Phone (623) 512-4326

Other practice location 1

14520 W Granite Valley Dr Ste 210
Sun City West, AZ 85375-5855
Phone (866) 974-2673

Other practice location 2

18444 N 25th Ave Ste 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673

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
I20090812000701 AZ Practitioner - Vascular SurgeryPractitioner - General Surgery 5395899264 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Orthopedic Research and Education LLC 247 clinicians

Practice addresses (Care Compare)

18444 N 25TH Ave
Suite 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673

18555 N 79TH Ave
Suite B101
Glendale, AZ 85308-8372
Phone (623) 512-4326

Hospital & facility affiliations

  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Merit-based Incentive Payment System (MIPS)

Final score
26.04 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal83
Leg revascularization (restoring blood flow)35
Removal of tissue14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute Vascular Center LLC CurrentSince Jul 22, 2024 Accepting new patients
Center for Orthopedic Research and Education, LLC Current Accepting new patients
Center for Orthopedic Research and Education LLC CurrentSince Sep 29, 2025 Accepting new patients
Mana Vein, LLC Vascular Surgery Current Accepting new patients
Hosstrup, PLC CurrentSince Dec 1, 2022 Accepting new patients
Center for Orthopedic Research and Educatoin CurrentSince Sep 29, 2025 Accepting new patients
Alif Group PLLC Vascular Surgery CurrentSince Nov 1, 2025 Accepting new patients
Ski Ambulatory Surgical Centers, LLC CurrentSince Jul 22, 2024 Accepting new patients
Southwest Kidney Institute, PLC CurrentSince Jul 22, 2024 Accepting new patients
Southwest Kidney Institute, PLC CurrentSince Jul 22, 2024 Accepting new patients
Ski Ambulatory Surgical Centers, LLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

3591 S Mercy Rd
Ste 101
Gilbert, AZ 85297

6120 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 843-2900

6120 W Bell Rd
Ste 180
Glendale, AZ 85308
Phone (623) 512-4326

6120 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (623) 512-4326

18555 N 79th Ave
Ste B108
Glendale, AZ 85308
Phone (623) 376-0300

18555 N 79th Ave
Ste B101
Glendale, AZ 85308
Phone (623) 487-7080

13555 W McDowell Rd
Ste 2103
Goodyear, AZ 85395
Phone (623) 292-2250

7362 W Thunderbird Rd
Ste 104
Peoria, AZ 85381
Phone (623) 486-0327

7362 W Thunderbird Rd
Ste 103
Peoria, AZ 85381
Phone (480) 610-6152

7362 W Thunderbird Rd
Peoria, AZ 85381
Phone (602) 843-5455

7362 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (480) 610-6152

18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (669) 742-6738

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

10494 W Thunderbird Blvd
Ste 108
Sun City, AZ 85351
Phone (623) 474-3672

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

1100 E University Dr
Ste 102
Tempe, AZ 85288
Phone (480) 610-6152

Interoperability endpoints

  • Direct secure messaging: lannery.lauvao.1@2697.direct.athenahealth.com
  • Direct secure messaging: lannery.lauvao.1@22724.direct.athenahealth.com
  • Direct secure messaging: lannery.lauvao.2@2697.direct.athenahealth.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 2

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1124242029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE STE B101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088372",
            "telephone_number": "623-512-4326",
            "fax_number": "623-594-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE STE B101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088372",
            "telephone_number": "623-512-4326",
            "fax_number": "623-594-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14520 W Granite Valley Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755855",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18444 N 25th Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850231264",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUVAO",
        "first_name": "LANNERY",
        "middle_name": "SIOELI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "37847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.